Provider Demographics
NPI:1518989508
Name:TUSKEN CHIROPRACTIC AND ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:TUSKEN CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:TUSKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-669-5433
Mailing Address - Street 1:706 TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5253
Mailing Address - Country:US
Mailing Address - Phone:970-669-5433
Mailing Address - Fax:970-669-7096
Practice Address - Street 1:706 TAFT AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5253
Practice Address - Country:US
Practice Address - Phone:970-669-5433
Practice Address - Fax:970-669-7096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00135401OtherMEDICARE RAILROAD
COC475988Medicare ID - Type Unspecified