Healthcare Provider Details

I. General information

NPI: 1083930952
Provider Name (Legal Business Name): DAVID RICHARD KOLOWSKI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LAUREN KOLOWSKI DC

II. Dates (important events)

Enumeration Date: 04/16/2010
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 MADISON SQUARE DR
LOVELAND CO
80538-3385
US

IV. Provider business mailing address

2700 MADISON SQUARE DR
LOVELAND CO
80538-3385
US

V. Phone/Fax

Practice location:
  • Phone: 970-685-8060
  • Fax:
Mailing address:
  • Phone: 970-685-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6497
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6512
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: