Healthcare Provider Details

I. General information

NPI: 1861084972
Provider Name (Legal Business Name): CASS CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10219 W 58TH AVE
ARVADA CO
80002-2019
US

IV. Provider business mailing address

7801 E 131ST AVE
THORNTON CO
80602-8566
US

V. Phone/Fax

Practice location:
  • Phone: 303-423-6320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CASS
Title or Position: PRESIDENT
Credential: D.C. L.AC
Phone: 303-423-6320