Healthcare Provider Details
I. General information
NPI: 1174460034
Provider Name (Legal Business Name): SIMPLY BALANCED SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11152 HURON ST STE 105
NORTHGLENN CO
80234-4321
US
IV. Provider business mailing address
25 CISNE CIR
BRIGHTON CO
80601-5324
US
V. Phone/Fax
- Phone: 303-907-4306
- Fax:
- Phone: 303-907-7188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RICHARD
DURAN
PEREZ
Title or Position: CO-OWNER
Credential: DC, LMT
Phone: 303-907-7188