SWAN LAKE CHIROPRACTIC HEALTH NPI 1740351055

NPI Information

SWAN LAKE CHIROPRACTIC HEALTH is a chiropractor in Boulder, CO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SWAN LAKE CHIROPRACTIC HEALTH NPI is 1740351055. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Swan Lake Chiropractic.

The provider's business location address is:

724 PEARL ST
BOULDER, CO
ZIP 80302-006
Phone: (303) 449-3103
Fax: (303) 402-1095

The provider's authorized official is Virginia Lawrence Shriver .
The authorized official title is Chiropractor and has the following contact phone number (303) 449-3103.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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