Individual
DR. KATIE DIANE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0006984
CO
111NP0017X
Pediatric Chiropractor
0006984
CO
Other
Enumeration date
09/03/2010
Last updated
05/20/2013
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