Healthcare Provider Details

I. General information

NPI: 1841854585
Provider Name (Legal Business Name): CSPS 2019, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4740 FLINTRIDGE DR STE 130
COLORADO SPRINGS CO
80918-4273
US

IV. Provider business mailing address

PO BOX 889
LOVELAND CO
80539-0889
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-9451
  • Fax: 877-535-9359
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DAVID FEEBACK
Title or Position: CFO
Credential:
Phone: 970-221-9451