Healthcare Provider Details

I. General information

NPI: 1821139981
Provider Name (Legal Business Name): KALLIO CHIROPRACTIC, PROF. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4038 TIMBERLINE RD SUITE 120
FORT COLLINS CO
80525-6031
US

IV. Provider business mailing address

4038 TIMBERLINE RD SUITE 120
FORT COLLINS CO
80525-6031
US

V. Phone/Fax

Practice location:
  • Phone: 970-267-9600
  • Fax: 970-267-2909
Mailing address:
  • Phone: 970-267-9600
  • Fax: 970-267-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5751
License Number StateCO

VIII. Authorized Official

Name: DR. ROBERT ALEXANDER KALLIO
Title or Position: OWNER
Credential: D.C.
Phone: 970-267-9600