Healthcare Provider Details

I. General information

NPI: 1073445888
Provider Name (Legal Business Name): PRESTON ROY YURT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 COUNCIL TREE AVE STE 146
FORT COLLINS CO
80525-6326
US

IV. Provider business mailing address

2720 COUNCIL TREE AVE STE 146
FORT COLLINS CO
80525-6326
US

V. Phone/Fax

Practice location:
  • Phone: 970-377-2250
  • Fax:
Mailing address:
  • Phone: 970-377-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0009082
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: