Organization
ELEVATE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WALLIS DC (OWNER)
(970) 624-0424
Entity
Organization
Contact information
Practice address
901 E HARMONY RD, FORT COLLINS, CO 80525-4941
(970) 624-0424
Mailing address
901 E HARMONY RD, FORT COLLINS, CO 80525-4941
(970) 624-0424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007247
CO
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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