Healthcare Provider Details

I. General information

NPI: 1023034113
Provider Name (Legal Business Name): JULIE SEYMOUR, LLC DBA WELLNESS FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 S PEARL ST
DENVER CO
80210-3134
US

IV. Provider business mailing address

1739 S CLAY ST
DENVER CO
80219-4819
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-6567
  • Fax:
Mailing address:
  • Phone: 303-744-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3131
License Number StateCO

VIII. Authorized Official

Name: DR. JULIA COCHRAN-SEYMOUR
Title or Position: OWNER
Credential: D.C.
Phone: 303-744-6567