Provider Demographics
NPI:1407223589
Name:THRIVE WHEAT RIDGE LLC
Entity Type:Organization
Organization Name:THRIVE WHEAT RIDGE LLC
Other - Org Name:THRIVE HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-475-8676
Mailing Address - Street 1:20 MOUNT VIEW LN STE C
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-4359
Mailing Address - Country:US
Mailing Address - Phone:949-338-4851
Mailing Address - Fax:
Practice Address - Street 1:5310 WARD RD STE 106
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1829
Practice Address - Country:US
Practice Address - Phone:720-542-3260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty