Provider Demographics
NPI:1831637677
Name:100 PERCENT CHIROPRACTIC COTTO, LLC
Entity Type:Organization
Organization Name:100 PERCENT CHIROPRACTIC COTTO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:YAHDI
Authorized Official - Middle Name:D
Authorized Official - Last Name:COTTO-JORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-367-3432
Mailing Address - Street 1:14261 E CEDAR AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1431
Mailing Address - Country:US
Mailing Address - Phone:303-367-3432
Mailing Address - Fax:303-367-0224
Practice Address - Street 1:14261 E CEDAR AVE UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1431
Practice Address - Country:US
Practice Address - Phone:303-367-3432
Practice Address - Fax:303-367-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR007550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty