Provider Demographics
NPI:1356461545
Name:BEARD, RANAE J (DC)
Entity Type:Individual
Prefix:DR
First Name:RANAE
Middle Name:J
Last Name:BEARD
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 1:3113 S TAFT HILL RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2143
Mailing Address - Country:US
Mailing Address - Phone:970-530-0981
Mailing Address - Fax:970-206-4871
Practice Address - Street 1:3113 S TAFT HILL RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2143
Practice Address - Country:US
Practice Address - Phone:970-530-0981
Practice Address - Fax:970-206-4871
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor