Individual
REBECCA WAECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 N WILSON AVE, LOVELAND, CO 80537-4461
(970) 494-4200
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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