Provider Demographics
NPI:1871311241
Name:CHIRO COTTO CHERRY CREEK PLLC
Entity type:Organization
Organization Name:CHIRO COTTO CHERRY CREEK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KLARISS
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-780-2503
Mailing Address - Street 1:1699 S COLORADO BLVD UNIT P
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4036
Mailing Address - Country:US
Mailing Address - Phone:720-780-2503
Mailing Address - Fax:
Practice Address - Street 1:1699 S COLORADO BLVD UNIT P
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4036
Practice Address - Country:US
Practice Address - Phone:720-780-2503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty