Provider Demographics
NPI:1174883417
Name:ONE HEALTH CHIROPRACTIC AND REHAB, PC
Entity type:Organization
Organization Name:ONE HEALTH CHIROPRACTIC AND REHAB, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-593-7300
Mailing Address - Street 1:595 CHAPEL HILLS DR
Mailing Address - Street 2:STE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1022
Mailing Address - Country:US
Mailing Address - Phone:719-593-7300
Mailing Address - Fax:719-528-5388
Practice Address - Street 1:595 CHAPEL HILLS DR
Practice Address - Street 2:STE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1022
Practice Address - Country:US
Practice Address - Phone:719-593-7300
Practice Address - Fax:719-528-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty