# PRIME CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1396634184
- **Authorized official:** DR. MATTHEW PENNETTI DC (OWNER)
- **Authorized official phone:** (720) 676-6440

## Contact information

- **Practice address:** 5956 S HOLLY ST, GREENWOOD VILLAGE, CO 80111-4221
- **Practice address phone:** (720) 676-6440
- **Mailing address:** 5956 S HOLLY ST, GREENWOOD VILLAGE, CO 80111-4221
- **Mailing address phone:** (720) 676-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2025
- **Last updated:** 06/28/2025