Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 6606 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | 6606 | CO |
NPI | 1386945343 |
---|---|
Provider Name | Dr. Ryan D Woods |
First Address | Highlands Ranch, CO 80130-5861 |
Second Address | Highlands Ranch, CO 80130-5861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2010 |
Last Update Date | 24/03/2021 |