Individual
JEREMY THOMAS WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4037 UPHAM ST, WHEAT RIDGE, CO 80033-4859
(480) 205-2044
Mailing address
4037 UPHAM ST, WHEAT RIDGE, CO 80033-4859
(480) 205-2044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010743
PA
111NR0400X
Rehabilitation Chiropractor
AJ010535
PA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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