# PHASE PRO CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346419017
- **Authorized official:** BRIAN KENYON (PRESIDENT)
- **Authorized official phone:** (303) 469-0353

## Contact information

- **Practice address:** 1140 US HIGHWAY 287, STE 100, BROOMFIELD, CO 80020-7080
- **Practice address phone:** (303) 469-0353
- **Mailing address:** 1140 US HIGHWAY 287, STE 100, BROOMFIELD, CO 80020-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4797 | CO | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 04/10/2009