Trevor Wicken

NPI 1417078429 · on the registry since 2007 · sole proprietor

Practice

Address: 5131 S College Ave Unit B
Fort Collins, CO 80525
Phone: (970) 266-0003
Fax: (970) 266-8077
Organisation at this address: Mosaic
Hollstrom Chiropractic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado