Provider Demographics
NPI:1124545181
Name:HANDLEY, CHAD RYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:RYAN
Last Name:HANDLEY
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 1:7971 UPTOWN AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4153
Mailing Address - Country:US
Mailing Address - Phone:816-204-0337
Mailing Address - Fax:
Practice Address - Street 1:5616 S GIBRALTAR WAY UNIT F
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5305
Practice Address - Country:US
Practice Address - Phone:720-572-7958
Practice Address - Fax:720-749-6142
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017031028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor