Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 8103 | CO |
NPI | 1144845660 |
---|---|
Provider Name | Dr. Michela Reese |
First Address | Denver, CO 80222-4011 |
Second Address | Denver, CO 80222-4011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |