Form And Function Chiropractic LLC
Clinic/Center in Aurora, CO. Organization (NPI-2).
NPI number1114358355
StatusActive
Last updated in NPPESApr 17, 2014
Details
- NPI
- 1114358355
- Entity type
- Organization (NPI-2)
- Legal business name
- Form And Function Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2013
- Last updated
- Apr 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 0006782 | CO | Yes |
Practice location
13751 E Yale AveAurora, CO 80014-7351
Phone 303-597-9595 · Fax 303-597-9689
Mailing address
1041 S Holly StDenver, CO 80246-2307
Phone 970-988-0328
Authorized official
Matthew Leroy Usel
Doctor Of Chiropractic
9709880328
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