Organization
SPINAL DISK DECOMPRESSION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L HALES (BILLING MANAGER)
(303) 594-3644
Entity
Organization
Contact information
Practice address
5285 MCWHINNEY BLVD, LOVELAND, CO 80538-8863
(303) 594-3644
Mailing address
5285 MCWHINNEY BLVD, LOVELAND, CO 80538-8863
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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