Optimal Life Inc

NPI 1245566066 - Chiropractor - 111N00000X

NPI Details
NPI 1245566066
Enumeration Date 10/29/2009
Last Updated 10/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LISA MARIE LISA
Position CORPORATE OFFICER
Phone (970) 223-5158
Fax (970) 223-5158
Practice Location
323 W DRAKE RD
SUITE 216
FORT COLLINS CO, 80526-8115, US
Phone (970) 223-5158
Fax (970) 223-5158
Business Location
323 W DRAKE RD
SUITE 216
FORT COLLINS CO, 80526-8115, US
Phone (970) 223-5158
Fax (970) 223-5158
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 5502
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According to our database, Optimal Life Inc NPI is 1245566066, taxonomy code is 111N00000X and license number is 5502, license state is located at Colorado. Optimal Life Inc physically located at 323 W Drake Rd, Fort Collins CO, 80526-8115. NPI Number 1033115704 has the healthcare provider type.

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1245566066 NPI number is provided on an as is basis without warranty of any kind. 1245566066 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Life Inc are for informational purposes only.