Healthcare Provider Details

I. General information

NPI: 1245165778
Provider Name (Legal Business Name): HIGH DESERT CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2768 COMPASS DR STE 201
GRAND JUNCTION CO
81506-8773
US

IV. Provider business mailing address

2768 COMPASS DR STE 201
GRAND JUNCTION CO
81506-8773
US

V. Phone/Fax

Practice location:
  • Phone: 303-523-8261
  • Fax:
Mailing address:
  • Phone: 303-523-8261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. REBECCA AXTMAN
Title or Position: OWNER
Credential: DC
Phone: 303-523-8261