Healthcare Provider Details

I. General information

NPI: 1801643556
Provider Name (Legal Business Name): WEEKEND WARRIOR CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 N GRANT ST STE 100
DENVER CO
80203-3684
US

IV. Provider business mailing address

980 N GRANT ST STE 100
DENVER CO
80203-3684
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-3668
  • Fax: 303-861-1403
Mailing address:
  • Phone: 303-832-3668
  • Fax: 303-861-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER ANNE SCHWAIRY
Title or Position: PROVIDER CONTRACTING MANAGER
Credential:
Phone: 303-875-3383