| NPI | 1982937926 |
|---|---|
| Doing Business As | JACKSON FISK BODY & SOUL |
| Entity Type | Organization |
| Authorized Contact | PETER FISK Partner/Secretary 970-377-2399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6241) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 6236) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |