Healthcare Provider Details

I. General information

NPI: 1508309972
Provider Name (Legal Business Name): TOR WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2016
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6049 BARNES RD
COLORADO SPRINGS CO
80922-2603
US

IV. Provider business mailing address

6049 BARNES RD
COLORADO SPRINGS CO
80922-2603
US

V. Phone/Fax

Practice location:
  • Phone: 719-637-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0007539
License Number StateCO

VIII. Authorized Official

Name: DR. BREANNA RYAN
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 816-678-3816