Organization · Type 2 NPI

Club Manor Clinic, Inc.

Chiropractor · Pueblo, CO

NPI number 1275662298 Active

Practice location

1805 Fortino Blvd
Pueblo, CO 81008-1851

Fax (719) 584-2853

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5101 (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 1275662298

Club Manor Clinic, Inc.'s National Provider Identifier is 1275662298, issued on Mar 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 24, 2008.