=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356649230
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RICHARD WALFORD DC, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2011
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1410 S. 21ST STREET
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80904-4204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-632-4225
-----------------------------------------------------
Fax | 719-632-3732
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1410 S 21ST ST
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80904-4204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-632-4225
-----------------------------------------------------
Fax | 719-632-3732
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TIMOTHY A CHRISTOPHERSON
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 719-632-4225
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------