Individual provider · Type 1 NPI
Justin Russell Willcoxson
Chiropractor · Boulder, CO
NPI number
1073086567
Active
Practice location
2525 Arapahoe Ave Unit C2
Boulder, CO 80302-6724
Mailing address
600 W County Line Rd Apt 25-201
Highlands Ranch, CO 80129-6532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH0007175 (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 1073086567
Justin Russell Willcoxson's National Provider Identifier is 1073086567, issued on Jan 7, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boulder, CO. The record was last updated on Jan 7, 2019.