Provider Type Icon

WELLNESS CENTER FOR SPORT & SPINE INC. NPI 1235469016


NPI Information

NPI: 1235469016
Provider Name: WELLNESS CENTER FOR SPORT & SPINE, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 06D2105765

Address:
181 W. BOARDWALK DR.
UNIT 204
FORT COLLINS, CO
ZIP 80525
Phone: (970) 493-3100
Get Directions

WELLNESS CENTER FOR SPORT & SPINE, INC. is a chiropractor in Fort Collins, CO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESS CENTER FOR SPORT & SPINE, INC. NPI is 1235469016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

181 W. BOARDWALK DR.
UNIT 204
FORT COLLINS, CO
ZIP 80525-033
Phone: (970) 493-3100
Fax: (970) 237-4802

The provider's authorized official is Gil Z. Coleman .
The authorized official title is President and has the following contact phone number (970) 493-3100.

The CLIA number assigned to this NPI record is 06D2105765 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2009 and was last updated on 7/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHR5682COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.