Organization
ACTIVE CHIROPRACTIC WELLNESS CENTER
Active
Other names
Active Chiropractic Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE TELAYA KOCH DC (PRESIDENT MANAGER)
(719) 636-3080
Entity
Organization
Contact information
Practice address
2790 N. ACADEMY BLVD, SUITE 110, COLORADO SPRINGS, CO 80917-5300
(719) 636-3080
Mailing address
2790 N. ACADEMY BLVD, SUITE 110, COLORADO SPRINGS, CO 80917-5300
(719) 636-3080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5728
CO
Other
Enumeration date
11/02/2006
Last updated
12/27/2016
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