Organization
PARKER PERFORMANCE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TODD LOCKIE D.C. (OWNER)
(208) 569-9773
Entity
Organization
Contact information
Practice address
12155 LIONESS WAY, UNIT 103, PARKER, CO 80134-5620
(303) 500-7755
Mailing address
19113 COTTONWOOD DR, APT 918, PARKER, CO 80138-8665
(208) 569-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
04/11/2016
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