Organization
LIFE BALANCE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE RYAN KOKOSZKA D.C. C.AC. FIAMA (OWNER)
(303) 635-2273
Entity
Organization
Contact information
Practice address
7695 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-5544
(303) 635-2273
(303) 635-1225
Mailing address
3220 W 62ND AVE, DENVER, CO 80221-1907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5110
CO
171100000X
Acupuncturist
Primary
5110
CO
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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