Provider Demographics
NPI:1497073076
Name:TEETS, BRANDEN ELLIOTT
Entity Type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:ELLIOTT
Last Name:TEETS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9894 ROSEMONT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-4102
Mailing Address - Country:US
Mailing Address - Phone:303-799-9894
Mailing Address - Fax:303-799-9893
Practice Address - Street 1:9894 ROSEMONT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-4102
Practice Address - Country:US
Practice Address - Phone:303-799-9894
Practice Address - Fax:303-799-9893
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor