# WESLEY CAVANAUGH DC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foundation Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811205073
- **Authorized official:** DR. WESLEY MICHAEL CAVANAUGH D.C. (OWNER/MEMBER)
- **Authorized official phone:** (303) 604-6040

## Contact information

- **Practice address:** 317 W SOUTH BOULDER RD, SUITE 2, LOUISVILLE, CO 80027-1289
- **Practice address phone:** (303) 604-6040
- **Practice address fax:** (303) 313-0994
- **Mailing address:** 317 W SOUTH BOULDER RD, SUITE 2, LOUISVILLE, CO 80027-1289
- **Mailing address phone:** (303) 604-6040
- **Mailing address fax:** (303) 313-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 6428 | CO | Yes |

## Other

- **Enumeration date:** 09/21/2010
- **Last updated:** 09/21/2010