Healthcare Provider Details

I. General information

NPI: 1306654041
Provider Name (Legal Business Name): REALIGNING YOUR HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6881 S HOLLY CIR STE 207
CENTENNIAL CO
80112-1145
US

IV. Provider business mailing address

6881 S HOLLY CIR STE 207
CENTENNIAL CO
80112-1145
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-3600
  • Fax: 720-529-0222
Mailing address:
  • Phone: 303-221-3600
  • Fax: 720-259-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY KOWACHIK
Title or Position: CEO
Credential: DC
Phone: 303-221-3600