| Organization Name: | ROCKY MOUNTAIN HEALTH AND BACK CENTER, P.C. |
| NPI Number: | 1407153034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN LISA SANTILLI (OWNER) |
| Mailing Address: | 2000 W 120th Ave Suite 5 Northglenn |
| State: | CO US |
| Postal Code: | 802342470 |
| Phone Number: | 3032548700 |
| Fax Number: | 3032548873 |
| NPI Enumeration Date: | 02/16/2011 |
| NPI Last Update Date: | 02/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 32837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |