Organization
FORT COLLINS MEDI-SPA
Active
Organization
FORT COLLINS MEDI-SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J ANDERSON OD (CEO)
(970) 204-0400
Entity
Organization
Contact information
Practice address
4103 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525-5931
(970) 204-0400
(970) 377-1082
Mailing address
4103 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525-5931
(970) 204-0400
(970) 377-1082
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
173C00000X
Reflexologist
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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