Provider Demographics
NPI:1437397924
Name:HOLMES, TRACEY (DC)
Entity Type:Individual
Prefix:DR
First Name:TRACEY
Middle Name:
Last Name:HOLMES
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 1:400 S. COLORADO BLVD.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246
Mailing Address - Country:US
Mailing Address - Phone:303-759-5575
Mailing Address - Fax:303-759-5589
Practice Address - Street 1:400 S. COLORADO BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-759-5575
Practice Address - Fax:303-759-5589
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor