Provider Demographics
NPI:1407581127
Name:ANIMAS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ANIMAS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:DANIELLE GERMAIN
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-289-4052
Mailing Address - Street 1:57 SILVER MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6529
Mailing Address - Country:US
Mailing Address - Phone:512-289-4052
Mailing Address - Fax:
Practice Address - Street 1:1305 ESCALANTE DR UNIT 206
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-8931
Practice Address - Country:US
Practice Address - Phone:970-715-1362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty