| Vitality Chiropractic & Massage | |
|
105 Coronado Ct Ste B-102 Fort Collins CO 80525-4924 | |
| (760) 672-0780 | |
| Not Available |
| Full Name | Vitality Chiropractic & Massage |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Coronado Ct Ste B-102, Fort Collins, Colorado |
| Authorized Official Name and Position | Dena Simmons (OWNER) |
| Authorized Official Contact | 7606720780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Chiropractic & Massage 6394 Ozark Ave Loveland CO 80538-1805 Ph: (760) 672-0780 | Vitality Chiropractic & Massage 105 Coronado Ct Ste B-102 Fort Collins CO 80525-4924 Ph: (760) 672-0780 |
| NPI Number | 1689174245 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 4880955996 |
|---|---|
| Medicare Enrollment ID | O20180307000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689174245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHR.0007227 (Colorado) | Primary |
| Provider Name | Dena Sue Simmons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952311748 PECOS PAC ID: 6103823026 Enrollment ID: I20170829000327 |
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