Individual provider · Type 1 NPI
Theodore Marc Long-Ishikawa, DC
Chiropractor · Denver, CO
NPI number
1013939685
Active
Practice location
331 14th Street, Suite 208
Denver, CO 80202
Fax (720) 956-0157
Mailing address
50 S Federal Blvd
Denver, CO 80219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5286 (CO) |
Chiropractor: 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.
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About NPI 1013939685
Theodore Marc Long-Ishikawa, DC's National Provider Identifier is 1013939685, issued on Jul 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Denver, CO. The record was last updated on Jul 8, 2007.