Healthcare Provider Details

I. General information

NPI: 1801713037
Provider Name (Legal Business Name): KARA LOUISE GAUTHIER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 S EATON CIR APT 3B
CASTLE ROCK CO
80104-2382
US

IV. Provider business mailing address

1169 S EATON CIR APT 3B
CASTLE ROCK CO
80104-2382
US

V. Phone/Fax

Practice location:
  • Phone: 307-761-2554
  • Fax:
Mailing address:
  • Phone: 307-761-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0009100
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: