Provider Demographics
NPI:1003209206
Name:SPRINGS CHIROPRACTIC HEALTH, INC.
Entity Type:Organization
Organization Name:SPRINGS CHIROPRACTIC HEALTH, INC.
Other - Org Name:SALIDA SPORT AND SPINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:STOREY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-598-5000
Mailing Address - Street 1:6645 DELMONICO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1892
Mailing Address - Country:US
Mailing Address - Phone:719-598-5000
Mailing Address - Fax:719-213-2728
Practice Address - Street 1:6645 DELMONICO DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919
Practice Address - Country:US
Practice Address - Phone:719-598-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty