Individual
COURTNEY FASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8101 E LOWRY BLVD, SUITE 220, DENVER, CO 80230-7196
(303) 341-0369
Mailing address
8101 E LOWRY BLVD, SUITE 220, DENVER, CO 80230-7196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11793
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11793
STATE LICENSE
CO
Enumeration date
05/02/2011
Last updated
05/02/2011
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