Provider Demographics
NPI:1952311748
Name:SIMMONS, DENA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENA
Middle Name:SUE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CORONADO CT UNIT B102
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4925
Mailing Address - Country:US
Mailing Address - Phone:970-226-2000
Mailing Address - Fax:970-226-4700
Practice Address - Street 1:105 CORONADO CT UNIT B102
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4925
Practice Address - Country:US
Practice Address - Phone:970-226-2000
Practice Address - Fax:970-226-4700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC20529Medicare ID - Type Unspecified