Individual
MARLENE A BACZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST, MT
Contact information
Practice address
2001 S. SHIELDS, BLDG B, STE 2, FORT COLLINS, CO 80526
(847) 361-6398
Mailing address
2002 BATTLECREEK DR APT 15105, FORT COLLINS, CO 80528-6272
(847) 361-6398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002243
CO
225700000X
Massage Therapist
0019569
CO
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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