Healthcare Provider Details

I. General information

NPI: 1316165004
Provider Name (Legal Business Name): GET MOVING CHIROPRACTIC CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30772 SOUTHVIEW DR
EVERGREEN CO
80439-2213
US

IV. Provider business mailing address

30772 SOUTHVIEW DR
EVERGREEN CO
80439-2213
US

V. Phone/Fax

Practice location:
  • Phone: 303-670-7777
  • Fax: 303-482-1946
Mailing address:
  • Phone: 303-670-7777
  • Fax: 303-482-1946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number6029
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number6029
License Number StateCO

VIII. Authorized Official

Name: DR. MARY-KATHERINE RATZ MOOBERRY
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 303-670-7777