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NPI Code Detail

MEDICARE: PRADA CHIROPRACTIC INC

MEDICARE: PRADA CHIROPRACTIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1245779206
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRADA CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 2242 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3804
Country : US
Telephone Number : 303-718-3435
Fax Number :
Provider Business Practice Location Address
First Line : 2242 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3804
Country : US
Telephone Number : 303-718-3435
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARSHA D PRADA
Credential : DC
Telephone Number : 303-519-2670
Provider Enumeration Date : 02/22/2017
Last Update Date : 03/07/2025

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Directions to “PRADA CHIROPRACTIC INC ” Practice Location

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