Provider Demographics
NPI:1972107225
Name:ELEVATED WELLNESS CHIROPRACTIC
Entity Type:Organization
Organization Name:ELEVATED WELLNESS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-449-7240
Mailing Address - Street 1:PO BOX 6206
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-6206
Mailing Address - Country:US
Mailing Address - Phone:970-449-7240
Mailing Address - Fax:970-449-7164
Practice Address - Street 1:699 SUMMIT BLVD UNIT H
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5886
Practice Address - Country:US
Practice Address - Phone:970-449-7240
Practice Address - Fax:970-449-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty