OrganizationActive
Aspire 365 Colorado LLC
NPI 1730719394 · Addiction Medicine (Preventive Medicine) Physician · Palmer Lake, CO
Provider details
- NPI number
- 1730719394
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ken Jenson, Manager
Practice location
755 Highway 105 Ste D
Palmer Lake, CO 80133-8902
Phone: (719) 229-2046
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.