Organization
CREEDE CHIROPRACTIC AND KINESIOLOGY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENAE RICHARDSON M.S., D.C. (PRESIDENT)
(719) 658-3079
Entity
Organization
Contact information
Practice address
493 SOUTH MAIN ST., CREEDE, CO 81130
(719) 658-0526
Mailing address
PO BOX 123, CREEDE, CO 81130-0123
(719) 658-3079
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
5176
CO
111NN1001X
Nutrition Chiropractor
Primary
5177
CO
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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