100 Wellness, LLC

NPI #1205372968 in Denver, Colorado

Provider Information

NPI Number: 1205372968
Entity Type: Organization
Organization Name: 100 Wellness, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 18, 2017
Last Updated: Oct 24, 2017

Practice Location

Address: 100 S MADISON ST
Address 2: SUITE 1A
City: Denver
State: Colorado
ZIP Code: 80209-3026
Phone: (303) 862-2371

Authorized Official

Name: ISAAC MOOBERRY
Title: MEMBER OWNER
Phone: (303) 862-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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