Organization
PERFORMANCE BACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MICHAEL LEAHY DC (OWNER)
(719) 473-7000
Entity
Organization
Contact information
Practice address
175 S UNION BLVD, SUITE 230, COLORADO SPRINGS, CO 80910-3113
(719) 473-7478
(719) 473-7479
Mailing address
175 S UNION BLVD, SUITE 230, COLORADO SPRINGS, CO 80910-3113
(719) 473-7478
(719) 473-7479
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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