| Elevate Chiropractic Llc | |
|
901 E Harmony Rd, Fort Collins, CO 80525-4941 | |
| (970) 624-0424 | |
| Not Available |
| Full Name | Elevate Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 901 E Harmony Rd, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295127454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHR0007247 (Colorado) | Primary |
| Provider Name | Daniel Wallis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205228467 PECOS PAC ID: 9436477619 Enrollment ID: I20150420001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Chiropractic Llc 901 E Harmony Rd, Fort Collins, CO 80525-4941 Ph: (970) 624-0424 | Elevate Chiropractic Llc 901 E Harmony Rd, Fort Collins, CO 80525-4941 Ph: (970) 624-0424 |
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