Provider Demographics
NPI:1811478985
Name:CUNNINGHAM, TODD MICHAEL
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:MICHAEL
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 W COAL MINE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-4401
Mailing Address - Country:US
Mailing Address - Phone:720-242-6242
Mailing Address - Fax:303-927-7811
Practice Address - Street 1:8370 W COAL MINE AVE STE 107
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4401
Practice Address - Country:US
Practice Address - Phone:720-242-6242
Practice Address - Fax:303-927-7811
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor