Provider Demographics
NPI:1891817524
Name:FLESIA, KATHERINE J (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:J
Last Name:FLESIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:J
Other - Last Name:BROWN-FLESIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:232 E MONUMENT ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1004
Mailing Address - Country:US
Mailing Address - Phone:719-633-7575
Mailing Address - Fax:719-633-7878
Practice Address - Street 1:232 E MONUMENT ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1004
Practice Address - Country:US
Practice Address - Phone:719-633-7575
Practice Address - Fax:719-633-7878
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor