Healthcare Provider Details

I. General information

NPI: 1386945343
Provider Name (Legal Business Name): RYAN D WOODS D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8671 S QUEBEC ST STE 150
HIGHLANDS RANCH CO
80130-5861
US

IV. Provider business mailing address

8671 S QUEBEC ST STE 150
HIGHLANDS RANCH CO
80130-5861
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-6868
  • Fax: 303-683-2629
Mailing address:
  • Phone: 303-683-6868
  • Fax: 303-683-2629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6606
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number6606
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: