Healthcare Provider Details

I. General information

NPI: 1205540325
Provider Name (Legal Business Name): HEALTH ATLAST COLORADO SPRINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4617 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-2937
US

IV. Provider business mailing address

4617 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-2937
US

V. Phone/Fax

Practice location:
  • Phone: 719-266-6431
  • Fax:
Mailing address:
  • Phone: 719-266-6431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL STEINER
Title or Position: PRESIDENT
Credential: DO
Phone: 720-760-3117