Organization
PLASTICITY CENTERS OF COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN KORNFELD (LEAD CLINICIAN)
(720) 912-2212
Entity
Organization
Contact information
Practice address
991 SOUTHPARK DR STE 200, LITTLETON, CO 80120-5689
(720) 912-2212
(720) 912-2212
Mailing address
991 SOUTHPARK DR STE 200, LITTLETON, CO 80120-5689
(720) 912-2212
(720) 912-2212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
111NN0400X
Neurology Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
08/10/2022
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