Provider Demographics
NPI:1760840375
Name:RISING HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:RISING HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RATCLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-578-7747
Mailing Address - Street 1:1902 W COLORADO AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-3881
Mailing Address - Country:US
Mailing Address - Phone:719-578-7747
Mailing Address - Fax:
Practice Address - Street 1:1902 W COLORADO AVE
Practice Address - Street 2:UNIT B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3881
Practice Address - Country:US
Practice Address - Phone:719-578-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty