Healthcare Provider Details

I. General information

NPI: 1679516280
Provider Name (Legal Business Name): GARCIA FAMILY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 MILL ST.
BAYFIELD CO
81122
US

IV. Provider business mailing address

316 HIGHWAY 6 AND 50
FRUITA CO
81521-2642
US

V. Phone/Fax

Practice location:
  • Phone: 970-884-2128
  • Fax: 970-884-2092
Mailing address:
  • Phone: 970-858-0544
  • Fax: 970-858-7749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCO 4962
License Number StateCO

VIII. Authorized Official

Name: DR. THOMAS P GARCIA
Title or Position: OWNER
Credential:
Phone: 970-884-2128