MEDICARE: JULIE HENDERSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHR6864	CO

General Provider Information

NPI Number	:	1104185974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE HENDERSON D.C.

Provider Business Mailing Address
First Line	:	7878 WADSWORTH BLVD STE 200
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2121
Country	:	US
Telephone Number	:	303-420-7707
Fax Number	:	303-420-7779

Provider Business Practice Location Address
First Line	:	7878 WADSWORTH BLVD STE 200
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2121
Country	:	US
Telephone Number	:	303-420-7707
Fax Number	:	303-420-7779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2012
Last Update Date	:	05/08/2018

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