Organization
COLORADO SPRINGS SPORTS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA CRYSTAL JOHNSON D.C. (MANAGING MEMBER)
(719) 358-9837
Entity
Organization
Contact information
Practice address
611 N NEVADA AVE, SUITE 4, COLORADO SPRINGS, CO 80903-1099
(719) 358-9837
(719) 358-9838
Mailing address
611 N NEVADA AVE, SUITE 4, COLORADO SPRINGS, CO 80903-1099
(719) 358-9837
(719) 358-9838
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6270
CO
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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