Individual
ALEX WILLEN
Active
Individual
ALEX WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, BCSI
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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