Provider Demographics
NPI:1952699761
Name:ASPEN PARK CHIROPRACTIC & MASSAGE CENTER
Entity Type:Organization
Organization Name:ASPEN PARK CHIROPRACTIC & MASSAGE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFFT GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:303-838-8443
Mailing Address - Street 1:12424 BIG TIMBER DR
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-6410
Mailing Address - Country:US
Mailing Address - Phone:303-838-8443
Mailing Address - Fax:303-838-7794
Practice Address - Street 1:12424 BIG TIMBER DR
Practice Address - Street 2:UNIT 4
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-6410
Practice Address - Country:US
Practice Address - Phone:303-838-8443
Practice Address - Fax:303-838-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3874111N00000X
CO6523225700000X
CO4431225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty