Individual
KRYSTA STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1504 SANDPIPER PL, PUEBLO, CO 81006-9751
(719) 568-0026
Mailing address
1504 SANDPIPER PL, PUEBLO, CO 81006-9751
(719) 568-0026
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
6891
CO
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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