Healthcare Provider Details

I. General information

NPI: 1598685372
Provider Name (Legal Business Name): IVAN ANDRES PALOU ACOSTA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12050 PECOS ST STE 208
WESTMINSTER CO
80234-2080
US

IV. Provider business mailing address

12050 PECOS ST STE 208
WESTMINSTER CO
80234-2080
US

V. Phone/Fax

Practice location:
  • Phone: 720-379-7255
  • Fax: 720-524-3012
Mailing address:
  • Phone: 720-379-7255
  • Fax: 720-524-3012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0008935
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: