Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 5142 | CO |
NPI | 1063641553 |
---|---|
Provider Name | Dr. Joshua Kirk Harrison |
First Address | Denver, CO 80224-1681 |
Second Address | Denver, CO 80224-1681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 05/11/2010 |