Healthcare Provider Details

I. General information

NPI: 1194826107
Provider Name (Legal Business Name): ABSOLUTE HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 AUSTIN BLUFFS PKWY STE 100
COLORADO SPRINGS CO
80918-5701
US

IV. Provider business mailing address

3425 AUSTIN BLUFFS PKWY STE 100
COLORADO SPRINGS CO
80918-5701
US

V. Phone/Fax

Practice location:
  • Phone: 719-533-1000
  • Fax:
Mailing address:
  • Phone: 719-533-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4071
License Number StateCO

VIII. Authorized Official

Name: DR. BRIAN POLVI
Title or Position: PRESIDENT
Credential:
Phone: 719-533-1000