Provider Demographics
NPI:1861817249
Name:RODGERS, CALEB (DC, RN, BSN, CCRN,)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:
Last Name:RODGERS
Suffix:
Gender:M
Credentials:DC, RN, BSN, CCRN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 E 35TH AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2460
Mailing Address - Country:US
Mailing Address - Phone:303-647-9196
Mailing Address - Fax:970-455-0402
Practice Address - Street 1:7505 E 35TH AVE UNIT 302
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238
Practice Address - Country:US
Practice Address - Phone:303-647-9196
Practice Address - Fax:970-455-0402
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1619157163WM1400X
CO0015634172M00000X
COCHR0007779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No172M00000XOther Service ProvidersMechanotherapist