Healthcare Provider Details

I. General information

NPI: 1285275743
Provider Name (Legal Business Name): IN MOTION FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7850 VANCE DR STE 100
ARVADA CO
80003-2127
US

IV. Provider business mailing address

7850 VANCE DR STE 100
ARVADA CO
80003-2127
US

V. Phone/Fax

Practice location:
  • Phone: 720-936-5740
  • Fax:
Mailing address:
  • Phone: 720-936-5740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WITHINGTON
Title or Position: OWNER
Credential: DC
Phone: 314-941-9229