Individual
LETITIA S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1113 STONEY HILL RD, STE C, FORT COLLINS, CO 80525-1372
(970) 481-1633
Mailing address
1312 EMIGH ST, FORT COLLINS, CO 80524-4220
(970) 481-1633
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
CO
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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