Individual provider · Type 1 NPI

Danielle Custode, DC

Chiropractor · Boulder, CO

NPI number 1295924983 Active

Practice location

3400 Table Mesa Dr, Suite 201
Boulder, CO 80305-5869

Fax (303) 494-8678

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5900 (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 1295924983

Danielle Custode, DC's National Provider Identifier is 1295924983, issued on Oct 17, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boulder, CO. The record was last updated on Feb 29, 2008.