Healthcare Provider Details

I. General information

NPI: 1235498379
Provider Name (Legal Business Name): TERRANCE ADDISON ASHTON-BOYD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S FEDERAL BLVD
DENVER CO
80219-2044
US

IV. Provider business mailing address

3200 W COLFAX AVE APT 515
DENVER CO
80204-2335
US

V. Phone/Fax

Practice location:
  • Phone: 303-922-2977
  • Fax:
Mailing address:
  • Phone: 949-701-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number32048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: