Healthcare Provider Details

I. General information

NPI: 1295690311
Provider Name (Legal Business Name): ROOTED FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 W 38TH AVE STE D
WHEAT RIDGE CO
80033-4245
US

IV. Provider business mailing address

8850 W 38TH AVE STE D
WHEAT RIDGE CO
80033-4245
US

V. Phone/Fax

Practice location:
  • Phone: 303-736-9725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AMY KENNEDY
Title or Position: OWNER
Credential:
Phone: 720-363-8921