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Contact Information

AVILA INTEGRATIVE MEDICINE, INC.
3960 IVYWOOD LN
PUEBLO, CO81005-2567
 Phone: 719-565-1276
 Fax: 719-565-2313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AVILA INTEGRATIVE MEDICINE INC · (Female)

NPI Number 1821363557
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2012
Last updated 02/05/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 31499
  • CO License # 4867
  • CO License # 7987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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