Individual provider · Type 1 NPI
Geraldine Bernadette Moat, DC
Chiropractor · Grand Lake, CO
NPI number
1396946406
Active
Practice location
474 Cr 48
Grand Lake, CO 80447
Fax (970) 627-2418
Mailing address
PO Box 159
Grand Lake, CO 80447-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5232 (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.
About NPI 1396946406
Geraldine Bernadette Moat, DC's National Provider Identifier is 1396946406, issued on May 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Lake, CO. The record was last updated on Jul 8, 2007.