Provider Demographics
NPI:1417394008
Name:DAY, BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:
Last Name:DAY
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 1:4150 DARLEY AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6557
Mailing Address - Country:US
Mailing Address - Phone:303-499-5000
Mailing Address - Fax:303-499-4962
Practice Address - Street 1:4150 DARLEY AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-6557
Practice Address - Country:US
Practice Address - Phone:303-499-5000
Practice Address - Fax:303-499-4962
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00708700111N00000X
COCHR.0007278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor