Individual
DR. KENT DAAVETTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3586 HARTSEL DR STE 12E, COLORADO SPRINGS, CO 80920-2112
(719) 627-3846
Mailing address
3586 HARTSEL DR STE 12E, COLORADO SPRINGS, CO 80920-2112
(719) 627-3846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007867
CO
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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