Provider Demographics
NPI:1063641553
Name:HARRISON, JOSHUA KIRK (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:KIRK
Last Name:HARRISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 S NIAGARA ST STE 360
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1681
Mailing Address - Country:US
Mailing Address - Phone:303-349-5492
Mailing Address - Fax:866-274-1128
Practice Address - Street 1:925 S NIAGARA ST STE 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1681
Practice Address - Country:US
Practice Address - Phone:303-349-5492
Practice Address - Fax:866-274-1128
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5142111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation