Individual
RYAN FEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
907 COULTER ST, FORT COLLINS, CO 80524-2125
(970) 363-6540
Mailing address
907 COULTER ST, FORT COLLINS, CO 80524-2125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023862
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-197-1287
DRIVERS LICENSE
CO
Enumeration date
02/22/2021
Last updated
02/22/2021
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