Individual
DEREK TYLER HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5962 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923-3579
(719) 596-8700
Mailing address
5034 HAWK MEADOW DR, COLORADO SPRINGS, CO 80916-5729
(405) 664-3394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0008239
CO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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