Provider Demographics
NPI:1154496081
Name:RICHARDS, MONICA FEIST (DC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:FEIST
Last Name:RICHARDS
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 1:251 N FRONT ST
Mailing Address - Street 2:STE 10
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9137
Mailing Address - Country:US
Mailing Address - Phone:719-481-3121
Mailing Address - Fax:719-481-3121
Practice Address - Street 1:251 N FRONT ST
Practice Address - Street 2:STE 10
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9137
Practice Address - Country:US
Practice Address - Phone:719-481-3121
Practice Address - Fax:719-481-3121
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor