Organization
PURE POTENTIAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN P HARWARD D.C. (CHIROPRACTOR)
(970) 556-4807
Entity
Organization
Contact information
Practice address
1545 ALCOTT ST, FORT COLLINS, CO 80525-5701
(970) 530-0420
Mailing address
5151 BOARDWALK DR, UNIT L4, FORT COLLINS, CO 80525-6245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007365
CO
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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