Provider Demographics
NPI:1205966496
Name:TAMARAC WELLNESS CENTER
Entity type:Organization
Organization Name:TAMARAC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCI, DACBN
Authorized Official - Phone:303-756-2737
Mailing Address - Street 1:7200 E HAMPDEN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3021
Mailing Address - Country:US
Mailing Address - Phone:303-756-2737
Mailing Address - Fax:
Practice Address - Street 1:7200 E HAMPDEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3021
Practice Address - Country:US
Practice Address - Phone:303-756-2737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2341111NI0900X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty
Not Answered111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty