Individual provider · Type 1 NPI
Petra Alexandra Sullwold, DC
Chiropractor · Mancos, CO
NPI number
1063661031
Active
Practice location
245 N Main St
Mancos, CO 81328-9092
Mailing address
PO Box 536
Mancos, CO 81328-0536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 31018 (CA) |
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.
Other chiropractor providers in Mancos
About NPI 1063661031
Petra Alexandra Sullwold, DC's National Provider Identifier is 1063661031, issued on Sep 15, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mancos, CO. The record was last updated on Nov 17, 2020.