Individual
ALISHA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1103 OAK PARK DR, FORT COLLINS, CO 80525-6273
(970) 420-9489
Mailing address
PO BOX 270474, FORT COLLINS, CO 80527-0474
(970) 420-9489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4117
OR
111N00000X
Chiropractor
Primary
6759
CO
Other
Enumeration date
06/02/2011
Last updated
01/27/2012
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