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Organization
SPINEBODYSPIRIT PLLC
Active
Organization
SPINEBODYSPIRIT PLLC
Active
Other names
SpineBodySpirit PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE M FRAZER DC (OWNER, DOCTOR)
(602) 616-1602
Entity
Organization
Contact information
Practice address
88 INVERNESS CIR E UNIT I108, ENGLEWOOD, CO 80112-5515
(602) 616-1602
Mailing address
88 INVERNESS CIR E UNIT I108, ENGLEWOOD, CO 80112-5515
(602) 616-1602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-186-9686
DRIVER LICENSE
CO
01
—
CHR0008503
COLORADO CHIROPRACTIC BOARD
CO
Enumeration date
12/22/2022
Last updated
12/22/2022
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