Provider Demographics
NPI:1912640624
Name:RED ROCK CHIRO LLC
Entity Type:Organization
Organization Name:RED ROCK CHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-880-5335
Mailing Address - Street 1:2085 VILLAGE CENTER CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6263
Mailing Address - Country:US
Mailing Address - Phone:702-880-5335
Mailing Address - Fax:702-880-5336
Practice Address - Street 1:2085 VILLAGE CENTER CIR STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6263
Practice Address - Country:US
Practice Address - Phone:702-880-5335
Practice Address - Fax:702-880-5336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty