Provider Demographics
NPI:1417123423
Name:LATTA, ROBIN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MARIE
Last Name:LATTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:MARIA
Other - Last Name:SPIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:14111 E ALAMEDA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2546
Mailing Address - Country:US
Mailing Address - Phone:303-343-1357
Mailing Address - Fax:303-343-3036
Practice Address - Street 1:14111 E ALAMEDA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2546
Practice Address - Country:US
Practice Address - Phone:303-343-1357
Practice Address - Fax:303-343-3036
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor