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Organization

JACKSON FISK INTEGRATIVE HEALTH CARE

Active
Other names
Jackson Fisk Body & Soul
Organization subpart
No

Provider details

NPI number
Authorized official
PETER FISK D.C. (PARTNER/SECRETARY)
(970) 377-2399
Entity
Organization

Contact information

Practice address
3944 JFK PKWY, SUITE 12 B, FORT COLLINS, CO 80525-3088
(970) 377-2399
(970) 797-1729
Mailing address
3944 JFK PARKWAY, SUITE 12 B, FORT COLLINS, CO 80525
(970) 377-2399
(970) 797-1729

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6241
CO
111NN1001X
Nutrition Chiropractor
6236
CO

Other

Enumeration date
09/09/2009
Last updated
09/09/2009
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