Individual
KAREN KAY BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
521 STOVER ST, FORT COLLINS, CO 80524-3122
(970) 227-2094
Mailing address
521 STOVER ST, FORT COLLINS, CO 80524-3122
(970) 227-2094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000734
CO
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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