Provider Demographics
NPI:1700109618
Name:JENNINGS, BARBARA LAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LAYNE
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W HORSETOOTH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5978
Mailing Address - Country:US
Mailing Address - Phone:970-282-7706
Mailing Address - Fax:970-223-2439
Practice Address - Street 1:4327 MESA VIEW LN
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3378
Practice Address - Country:US
Practice Address - Phone:970-282-7706
Practice Address - Fax:970-223-2439
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6316111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition