Doctor Name: | DR. MICHAEL OTTO KLEKER |
NPI Number: | 1629007190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 1493 |
Business Practice Address: | 2601 S Lemay Ave Ft Collins, CO - 805252247 |
Business Phone Number: | 9702234422 |
Business Fax Number: | 9702232241 |
Mailing Address: | 2830 Zendt Dr, FT COLLINS |
State: | CO |
Postal Code: | 805266216 |
Phone Number: | 9704937016 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |