Healthcare Provider Details
I. General information
NPI: 1205966496
Provider Name (Legal Business Name): TAMARAC WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7200 E HAMPDEN AVE STE 101
DENVER CO
80224-3021
US
IV. Provider business mailing address
7200 E HAMPDEN AVE STE 101
DENVER CO
80224-3021
US
V. Phone/Fax
- Phone: 303-756-2737
- Fax:
- Phone: 303-756-2737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NI0900X |
| Taxonomy | Internist Chiropractor |
| License Number | 2341 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | 2341 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
RITA
JEAN
CUMMINGS
Title or Position: DOCTOR
Credential: DC, DABCI, DACBN
Phone: 303-756-2737