Organization
THE BACK EXPERT PC
Active
Other names
Total Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY REDE GEERSEN D.C. (PRESIDENT)
(303) 627-7995
Entity
Organization
Contact information
Practice address
4024 S PARKER RD, AURORA, CO 80014-4131
(303) 627-7995
Mailing address
4024 S PARKER RD, AURORA, CO 80014-4131
(303) 627-7995
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5527
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11513075
CAQH ID NUMBER
CO
01
—
7264720
AETNA PROVIDER ID NUMBER
CO
Enumeration date
03/06/2007
Last updated
11/03/2007
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