| NPI | 1912183724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RUSSELL MIKALAITIS Doctor Of Chiropractic 303-776-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR-6064) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |