Organization
NOVA REGENERATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COULTER DO (OWNER)
(407) 421-8051
Entity
Organization
Contact information
Practice address
6001 E WOODMEN RD, COLORADO SPRINGS, CO 80923-2601
(719) 571-5000
Mailing address
PO BOX 1913, MONUMENT, CO 80132-1913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000255067
—
CO
Enumeration date
10/15/2025
Last updated
02/16/2026
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