Healthcare Provider Details

I. General information

NPI: 1821870015
Provider Name (Legal Business Name): REDEMPTION WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 ERINDALE DR STE 111&113
COLORADO SPRINGS CO
80918-6740
US

IV. Provider business mailing address

5525 ERINDALE DR STE 111&113
COLORADO SPRINGS CO
80918-6740
US

V. Phone/Fax

Practice location:
  • Phone: 719-424-9203
  • Fax:
Mailing address:
  • Phone: 719-424-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY WRIGHT
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 719-424-9203