Provider Demographics
NPI:1376872598
Name:ANANDA WELLNESS CENTERS, LLC
Entity Type:Organization
Organization Name:ANANDA WELLNESS CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRUHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-379-3519
Mailing Address - Street 1:2727 BRYANT ST. STE. 500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211
Mailing Address - Country:US
Mailing Address - Phone:720-379-3519
Mailing Address - Fax:720-524-3472
Practice Address - Street 1:2727 BRYANT ST STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4153
Practice Address - Country:US
Practice Address - Phone:720-379-3519
Practice Address - Fax:720-524-3472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty