Individual
DR. TERRY L. WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
511 MAIN ST., SUITE #6, ALAMOSA, CO 81101-2664
(719) 589-5163
(719) 589-8988
Mailing address
511 MAIN ST STE 6, ALAMOSA, CO 81101-2649
(719) 589-5163
(719) 589-8988
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1181
CO
Other
Enumeration date
09/22/2006
Last updated
10/01/2013
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