Provider Demographics
NPI:1457301376
Name:REEVES, CRAIG W (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:W
Last Name:REEVES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 BRECKENRIDGE DR W
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4541
Mailing Address - Country:US
Mailing Address - Phone:719-527-0062
Mailing Address - Fax:719-527-0062
Practice Address - Street 1:3234 BRECKENRIDGE DR W
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4541
Practice Address - Country:US
Practice Address - Phone:719-527-0062
Practice Address - Fax:719-527-0062
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4578111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic