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Dr. Petra Alexandra Sullwold, DC
Chiropractor in Mancos, Colorado
NPI 1063661031

Petra Alexandra Sullwold is a Chiropractor based in Mancos, CO. Petra Alexandra Sullwold practices in Mancos, CO and has the professional credentials of DC. The NPI Number for Petra Alexandra Sullwold is 1063661031 and holds a License No. 31018 (Colorado).

The current practice location address for Petra Alexandra Sullwold is 245 N Main St, Mancos, CO and can be reached out via phone at 970-903-8901.

Location: 245 N Main St, Mancos, CO, 81328-0536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063661031
Provider Name
Petra Alexandra Sullwold
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
245 N Main St, Mancos, CO, 81328-0536
Phone Number
970-903-8901
Fax Number
Provider Enumeration Date
09/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
245 N Main St
City
Mancos
State
Colorado
Zip
81328-9092
Phone Number
970-903-8901
Fax Number
person
Provider Business Mailing Address Details
Address
245 N Main St
City
Mancos
State
Colorado
Zip
81328-9092
Phone Number
970-903-8901
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
31018 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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