MEDICARE: DR. TARA RITTER DC, FIAMA

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	111N00000X	Chiropractor	5761	CO

General Provider Information

NPI Number	:	1528255544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA RITTER DC, FIAMA

Provider Business Mailing Address
First Line	:	2503 ELMIRA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-1164
Country	:	US
Telephone Number	:	303-291-1017
Fax Number	:	203-413-3322

Provider Business Practice Location Address
First Line	:	1756 BLAKE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1226
Country	:	US
Telephone Number	:	303-291-1017
Fax Number	:	203-413-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	03/12/2026

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