Provider Demographics
NPI:1043712193
Name:HORTON, REBECCA JO (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:JO
Last Name:HORTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3261 E 103RD PL APT 1210
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-8466
Mailing Address - Country:US
Mailing Address - Phone:719-588-6716
Mailing Address - Fax:
Practice Address - Street 1:7355 W 88TH AVE UNIT R
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-6481
Practice Address - Country:US
Practice Address - Phone:303-429-3770
Practice Address - Fax:303-429-1615
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor