Provider Demographics
NPI:1588965867
Name:STORY-WOLF, JENNIFER RENE (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RENE
Last Name:STORY-WOLF
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 1:7355 W 88TH AVE UNIT R
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-6481
Mailing Address - Country:US
Mailing Address - Phone:303-432-3301
Mailing Address - Fax:303-432-3063
Practice Address - Street 1:7355 W 88TH AVE UNIT R
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-6481
Practice Address - Country:US
Practice Address - Phone:303-432-3301
Practice Address - Fax:303-432-3063
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor