Wellness Way Estes Park LLC
Chiropractor in Estes Park, CO. Organization (NPI-2).
NPI number1619706124
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1619706124
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Way Estes Park LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
521 S Saint Vrain Ave Unit BEstes Park, CO 80517-0018
Phone 970-577-0007
Mailing address
521 S Saint Vrain Ave Unit BEstes Park, CO 80517-0018
Phone 970-577-0007
Authorized official
Shannon Bundy
Owner
7207453166
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