Provider Demographics
NPI:1811212459
Name:RATCLIFFE, ALICE L (DC)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:L
Last Name:RATCLIFFE
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:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-0385
Mailing Address - Country:US
Mailing Address - Phone:719-578-7747
Mailing Address - Fax:719-578-3015
Practice Address - Street 1:1902 W COLORADO AVE UNIT B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3870
Practice Address - Country:US
Practice Address - Phone:719-578-7747
Practice Address - Fax:719-578-3015
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor