Organization Name: | CENTER FOR ALTERNATIVE MEDICINE, PLLC |
NPI Number: | 1831438605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THEODORE W DAVIS (DOCTOR OF CHIROPRACTIC) |
Mailing Address: | 2505 Kachina Dr Pueblo |
State: | CO US |
Postal Code: | 810081573 |
Phone Number: | 7195442009 |
Fax Number: | 7192537734 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2788 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |