Individual
MICHELLE LYNN EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
1102 DALLAS ST, AURORA, CO 80010-3124
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999
—
CO
Enumeration date
07/18/2017
Last updated
06/16/2018
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