Individual
ALEX WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, BCSI
Contact information
Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(845) 531-9558
Mailing address
2807 MIDDLESBOROUGH CT, FORT COLLINS, CO 80525-2331
(845) 531-9558
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT.0022398
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15393880
CAQH
—
Enumeration date
03/27/2022
Last updated
03/27/2022
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