Healthcare Provider Details

I. General information

NPI: 1962897033
Provider Name (Legal Business Name): SUMMER TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2015
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 S BELLAIRE ST SUITE 120
DENVER CO
80222-4307
US

IV. Provider business mailing address

700 N PENNSYLVANIA ST APT# 603
DENVER CO
80203-3629
US

V. Phone/Fax

Practice location:
  • Phone: 303-731-3985
  • Fax:
Mailing address:
  • Phone: 704-574-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11496
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHR.0007441
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: