Provider Demographics
NPI:1457481541
Name:WARD, DAVID T (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:WARD
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 1:8163 W EASTMAN PL
Mailing Address - Street 2:UNIT 17-204
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6362
Mailing Address - Country:US
Mailing Address - Phone:770-856-7226
Mailing Address - Fax:
Practice Address - Street 1:8163 W EASTMAN PL
Practice Address - Street 2:UNIT 17-204
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-6362
Practice Address - Country:US
Practice Address - Phone:770-856-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0006744111N00000X
GAMT000897225700000X
GACHIR008228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist