Provider Demographics
NPI:1205453396
Name:REID, BRITTNI ANN (DC, ATC)
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:ANN
Last Name:REID
Suffix:
Gender:F
Credentials:DC, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 S. WADSWORTH BLVD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232
Mailing Address - Country:US
Mailing Address - Phone:720-440-3979
Mailing Address - Fax:720-962-9033
Practice Address - Street 1:1360 S. WADSWORTH BLVD
Practice Address - Street 2:SUITE #104
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232
Practice Address - Country:US
Practice Address - Phone:720-440-3979
Practice Address - Fax:720-962-9033
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor