Organization
COLORADO SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN THOMM D.C. (OWNER)
(303) 604-4358
Entity
Organization
Contact information
Practice address
335 W SOUTH BOULDER RD, SUITE 1, LOUISVILLE, CO 80027-1196
(303) 604-4358
Mailing address
335 W SOUTH BOULDER RD, SUITE 1, LOUISVILLE, CO 80027-1196
(303) 604-4358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5130
CO
111N00000X
Chiropractor
5684
CO
225100000X
Physical Therapist
Primary
9340
CO
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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