Ridge Line Chiropractic LLC

NPI #1386949303 in Lonetree, Colorado

Provider Information

NPI Number: 1386949303
Entity Type: Organization
Organization Name: Ridge Line Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 23, 2011
Last Updated: Jan 23, 2011

Practice Location

Address: 9894 ROSEMONT AVE STE 103
City: Lonetree
State: Colorado
ZIP Code: 80124-4103
Phone: (303) 790-1455

Authorized Official

Name: JONATHON MAINIERI, D.C.
Title: PRESIDENT
Phone: (303) 790-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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