Individual
HANNAH KREWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-8061
(970) 384-8120
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-8061
(970) 384-8120
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
0001657
CO
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AT.0001657
CO
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022876
BOC IDENTIFICATION
—
Enumeration date
07/27/2020
Last updated
07/27/2020
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