Provider Demographics
NPI:1194600437
Name:AXON CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:AXON CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ABRAHAM ERICA
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-358-9460
Mailing Address - Street 1:2620 TENDERFOOT HILL ST STE 10
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8354
Mailing Address - Country:US
Mailing Address - Phone:719-358-9460
Mailing Address - Fax:719-434-2319
Practice Address - Street 1:2620 TENDERFOOT HILL ST STE 10
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8354
Practice Address - Country:US
Practice Address - Phone:719-358-9460
Practice Address - Fax:719-434-2319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty