=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043729924
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAVIGATE WELLNESS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2017
-----------------------------------------------------
Last Update Date | 08/04/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8156 S WADSWORTH BLVD # E-360
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80128-9114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-913-1671
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8156 S WADSWORTH BLVD # E-360
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80128-9114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-913-1671
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CHIROPRACTOR
-----------------------------------------------------
Name | DR. KRYSTALYN LOWERY
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 303-913-1671
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number | EL.2786521
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CHR.0007436
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------