MEDICARE: ABSOLUTE HEALTH RESOURCE PLLC

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
1	111NN0400X	Neurology Chiropractor	4774	CO

General Provider Information

NPI Number	:	1487801130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE HEALTH RESOURCE PLLC

Provider Business Mailing Address
First Line	:	2757 BRYANT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4124
Country	:	US
Telephone Number	:	720-524-3477
Fax Number	:	720-524-3472

Provider Business Practice Location Address
First Line	:	2727 BRYANT ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4153
Country	:	US
Telephone Number	:	720-524-3477
Fax Number	:	720-524-3472

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNIFER D HARTLEY
Credential	:
Telephone Number	:	720-524-3477

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	08/11/2010

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