Provider Demographics
NPI:1760665079
Name:FOOTHILLS CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:FOOTHILLS CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:KOEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-933-6153
Mailing Address - Street 1:7610 S ALKIRE PL
Mailing Address - Street 2:UNIT B
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3211
Mailing Address - Country:US
Mailing Address - Phone:303-933-6153
Mailing Address - Fax:303-933-9431
Practice Address - Street 1:7610 S ALKIRE PL
Practice Address - Street 2:UNIT B
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3211
Practice Address - Country:US
Practice Address - Phone:303-933-6153
Practice Address - Fax:303-933-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty