Individual
JASON R GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
824 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6375
(719) 634-2579
(719) 634-2371
Mailing address
824 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6375
(719) 634-2579
(719) 634-2371
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6562
CO
225200000X
Physical Therapy Assistant
PTA.0013124
CO
Other
Enumeration date
01/14/2011
Last updated
02/05/2014
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