Healthcare Provider Details

I. General information

NPI: 1891934071
Provider Name (Legal Business Name): ANNETTE JO TRICK D.C., C.C.S.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11253 5850 RD
MONTROSE CO
81403-9376
US

IV. Provider business mailing address

11253 5850 RD
MONTROSE CO
81403-9376
US

V. Phone/Fax

Practice location:
  • Phone: 970-779-3201
  • Fax:
Mailing address:
  • Phone: 970-779-3201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6369
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: