Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4518 | CO |
N | 111NN0400X | Neurology | 4518 | CO |
N | 111NN1001X | Nutrition | 4518 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | 4518 | CO |
N | 225000000X | Orthotic Fitter | 4518 | CO |
N | 225100000X | Physical Therapist | 4518 | CO |
N | 225700000X | Massage Therapist | 4518 | CO |
NPI | 1033220371 |
---|---|
Provider Name | Karen A Cain |
First Address | Denver, CO 80222-4336 |
Second Address | Denver, CO 80222-4336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 02/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U71716 | (02) | CO |