Organization
CREEDE CHIROPRACTIC AND KINESIOLOGY CLINIC, INC
Active
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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