Provider First Line Business Practice Location Address:
2790 N. ACADEMY BLVD.
Provider Second Line Business Practice Location Address:
ACTIVE CHIROPRACTICE WELLNESS CENTER UNIT 110
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-636-3080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2014