Derek Wade Stickler, D.C.

Chiropractor · Pueblo, CO

Individual Active NPI

NPI number 1629326905

Practice location

2447 S Prairie Ave
Pueblo, CO 81005-2886
Phone
(254) 394-0836

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NPI record

NPI
1629326905
Entity type
Individual (Type 1)
Enumeration date
August 17, 2012
Last updated
April 11, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6888 CO
Rehabilitation Chiropractor 111NR0400X 6888 CO

About Dr. Stickler

Derek Wade Stickler, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2447 S Prairie Ave, Pueblo, CO 81005-2886. The NPI number 1629326905 was assigned on August 17, 2012 and the record was last updated on April 11, 2018.

Dr. Stickler lists 2 licenses in the registry: #6888 (CO) for Chiropractor; #6888 (CO) for Rehabilitation Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Wade Stickler, D.C.?

The NPI number is 1629326905.

What is the phone number of Dr. Stickler?

The phone number listed for the practice location is (254) 394-0836.

Where is Dr. Stickler located?

2447 S Prairie Ave, Pueblo, CO 81005-2886.

What is the taxonomy code for Dr. Stickler?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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