Healthcare Provider Details

I. General information

NPI: 1487801130
Provider Name (Legal Business Name): ABSOLUTE HEALTH RESOURCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2008
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 BRYANT ST STE 500
DENVER CO
80211-4153
US

IV. Provider business mailing address

2757 BRYANT ST
DENVER CO
80211-4124
US

V. Phone/Fax

Practice location:
  • Phone: 720-524-3477
  • Fax: 720-524-3472
Mailing address:
  • Phone: 720-524-3477
  • Fax: 720-524-3472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4774
License Number StateCO

VIII. Authorized Official

Name: DR. JENNIFER D HARTLEY
Title or Position: PRESIDENT
Credential:
Phone: 720-524-3477