Provider Demographics
NPI:1639195720
Name:WELLNESS FIRST LLC
Entity Type:Organization
Organization Name:WELLNESS FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-744-6567
Mailing Address - Street 1:1711 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3134
Mailing Address - Country:US
Mailing Address - Phone:303-744-6567
Mailing Address - Fax:303-733-6199
Practice Address - Street 1:1711 S PEARL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3134
Practice Address - Country:US
Practice Address - Phone:303-744-6567
Practice Address - Fax:303-733-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCE9103Medicare ID - Type UnspecifiedWELLNESS FIRST LLC