Search › Colorado › 1223G0001X
Alexis Mack, D.D.S
NPI 1730793803 · on the registry since 2020 · sole proprietor
Practice
- Address
- 13606 Xavier Lane Suite B
Broomfield, CO 80023 - Phone
- (303) 466-7306
- Fax
- (303) 466-7389
- Organisation at this address
- Form And Fitness Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-12
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