Provider Demographics
NPI:1679959167
Name:GEER, SHAHLAYE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAHLAYE
Middle Name:
Last Name:GEER
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 1:36 S 18TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2412
Mailing Address - Country:US
Mailing Address - Phone:303-637-0255
Mailing Address - Fax:
Practice Address - Street 1:36 S 18TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2412
Practice Address - Country:US
Practice Address - Phone:303-637-0255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007308111N00000X
COEL.2786416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor