Provider Demographics
NPI:1497358774
Name:PARRIS, ABIGAIL (DC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:PARRIS
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 1:18281 COTTONWOOD DR APT 205
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8974
Mailing Address - Country:US
Mailing Address - Phone:325-370-5983
Mailing Address - Fax:
Practice Address - Street 1:24300 E SMOKY HILL RD UNIT 136
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1360
Practice Address - Country:US
Practice Address - Phone:303-963-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14401111N00000X
COCHR0008185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor