Provider Demographics
NPI:1295612174
Name:FORREST, AUSTIN WESLEY (DC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:WESLEY
Last Name:FORREST
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 1:670 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4733
Mailing Address - Country:US
Mailing Address - Phone:970-663-2200
Mailing Address - Fax:970-692-2622
Practice Address - Street 1:670 E 29TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4733
Practice Address - Country:US
Practice Address - Phone:970-663-2200
Practice Address - Fax:970-692-2622
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty