Provider Demographics
NPI:1225309412
Name:YOUTZY ENTERPRISES, INC.
Entity Type:Organization
Organization Name:YOUTZY ENTERPRISES, INC.
Other - Org Name:YUTES CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:YOUTZY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-874-0555
Mailing Address - Street 1:540 MAIN ST STE 109
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-1834
Mailing Address - Country:US
Mailing Address - Phone:970-874-0555
Mailing Address - Fax:
Practice Address - Street 1:540 MAIN ST STE 109
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1834
Practice Address - Country:US
Practice Address - Phone:970-874-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty