Provider Demographics
NPI:1730227976
Name:SCHULSTAD WATTS, AMY RUTH (DC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:RUTH
Last Name:SCHULSTAD WATTS
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 1:7600 E ARAPAHOE RD
Mailing Address - Street 2:SUITE #106
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1260
Mailing Address - Country:US
Mailing Address - Phone:720-489-6040
Mailing Address - Fax:
Practice Address - Street 1:7600 E ARAPAHOE RD
Practice Address - Street 2:SUITE #106
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1260
Practice Address - Country:US
Practice Address - Phone:720-489-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5276111N00000X
WACH00034530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7439802OtherAETNA
WA0203795OtherLABOR & IND
WA0203795OtherLABOR & IND
7439802OtherAETNA