Healthcare Provider Details

I. General information

NPI: 1336367051
Provider Name (Legal Business Name): ROCK CHIROPRACTIC, INC. DBA ROCK INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 S DRANSFELDT RD STE 175
PARKER CO
80134-9387
US

IV. Provider business mailing address

11211 S DRANSFELDT RD STE 175
PARKER CO
80134-9387
US

V. Phone/Fax

Practice location:
  • Phone: 303-840-2092
  • Fax: 303-840-2012
Mailing address:
  • Phone: 303-840-2092
  • Fax: 720-615-4781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: AARON L. MILLER
Title or Position: MANAGER
Credential: D.C.
Phone: 303-840-2092