Provider Demographics
NPI:1881878957
Name:DURANGO WALK-IN CHIROPRACTIC
Entity type:Organization
Organization Name:DURANGO WALK-IN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-259-2022
Mailing Address - Street 1:1401 MAIN AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5194
Mailing Address - Country:US
Mailing Address - Phone:970-259-2022
Mailing Address - Fax:970-259-3672
Practice Address - Street 1:1401 MAIN AVE UNIT B
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5194
Practice Address - Country:US
Practice Address - Phone:970-259-2022
Practice Address - Fax:970-259-3672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty