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LIFETIME WELLNESS OF BOULDER LLC NPI 1952788093


NPI Information

NPI: 1952788093
Provider Name: LIFETIME WELLNESS OF BOULDER LLC
Classification: Chiropractor - 111NP0017X
Entity Type: Organization

Specialization: Pediatric Chiropractor

Address:
2800 FOLSOM ST
SUITE D
BOULDER, CO
ZIP 80304
Phone: (303) 374-4856
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LIFETIME WELLNESS OF BOULDER LLC is a pediatric chiropractor chiropractor in Boulder, CO. The provider is the Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. LIFETIME WELLNESS OF BOULDER LLC NPI is 1952788093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 FOLSOM ST
SUITE D
BOULDER, CO
ZIP 80304-738
Phone: (303) 374-4856

The provider's authorized official is Amanda Friedhoff .
The authorized official title is Ceo and has the following contact phone number (303) 374-4856.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.


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
1111NP0017XChiropractorPediatric Chiropractor6715COLORADOYes

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: 4/28/2024

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