# TERRY CHIROPRACTIC HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1447455316
- **Authorized official:** DR. DOUGLAS JAY TERRY DC (MANAGING MEMBER)
- **Authorized official phone:** (303) 440-0500

## Contact information

- **Practice address:** 2960 DIAGONAL HWY, SUITE 206, BOULDER, CO 80301-1412
- **Practice address phone:** (303) 440-0500
- **Practice address fax:** (303) 440-4621
- **Mailing address:** 2960 DIAGONAL HWY, SUITE 206, BOULDER, CO 80301-1412
- **Mailing address phone:** (303) 440-0500
- **Mailing address fax:** (303) 440-4621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1561 | CO | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 08/22/2020