Individual provider · Type 1 NPI
Tara Jennifer Bonvillian, DC
Chiropractor · Boulder, CO
NPI number
1245452838
Active
Practice location
3005 47th Street, Suite F-2
Boulder, CO 80301
Fax (303) 440-0993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5423 (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 1245452838
Tara Jennifer Bonvillian, DC's National Provider Identifier is 1245452838, issued on May 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.