Organization
LIFESTYLE ELEVATED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHRISTOPHERSON DC (OWNER)
(720) 940-4603
Entity
Organization
Contact information
Practice address
1410 S 21ST ST, COLORADO SPRINGS, CO 80904-4204
(719) 632-4225
Mailing address
595 CHAPEL HILLS DR STE 200, COLORADO SPRINGS, CO 80920-1056
(720) 940-4603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6122
CO
Other
Enumeration date
06/14/2018
Last updated
12/02/2024
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