Healthcare Provider Details

I. General information

NPI: 1982698379
Provider Name (Legal Business Name): TRUE CHIROPRACTIC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 N PARK SQUARE
FRUITA CO
81521
US

IV. Provider business mailing address

161 N PARK SQUARE
FRUITA CO
81521
US

V. Phone/Fax

Practice location:
  • Phone: 970-858-3511
  • Fax: 970-858-9778
Mailing address:
  • Phone: 970-858-3511
  • Fax: 970-858-9778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. DORIS D COOPER
Title or Position: OFFICE MANAGER
Credential:
Phone: 970-858-3511