# FOSTER CHIROPRACTIC & WELLNESS CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foster Health & Wellness Center, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265650444
- **Authorized official:** DR. BRIAN K FOSTER D.C. (OWNER)
- **Authorized official phone:** (303) 678-8300

## Contact information

- **Practice address:** 630 15TH AVE, SUITE 102, LONGMONT, CO 80501-2764
- **Practice address phone:** (303) 678-8300
- **Practice address fax:** (303) 651-2556
- **Mailing address:** 630 15TH AVE, SUITE 102, LONGMONT, CO 80501-2764
- **Mailing address phone:** (303) 678-8300
- **Mailing address fax:** (303) 651-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4345 | CO | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 02/02/2017