MEDICARE: MARY A. WHALEN 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	2960	CO

General Provider Information

NPI Number	:	1376664235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY A. WHALEN D.C.

Provider Business Mailing Address
First Line	:	2850 MCCLELLAND DR. STE 1900
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-493-7340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 MCCLELLAND DR. STE. 1900
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-493-7340
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	03/09/2026

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