| NPI | 1962827394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE BRAVO Chief Operations Officer 303-788-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0000851) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CO MT.0005004) |
| 111N00000X Chiropractor (Licence: CO CHR.0006328) | |
| 111N00000X Chiropractor (Licence: CO EL.2775162) | |
| 171W00000X Contractor (Licence: CO MT.0010822) | |
| 171W00000X Contractor (Licence: CO MT.0004234) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |