Individual
AMY MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1121 W PROSPECT RD STE B, FORT COLLINS, CO 80526-5623
(970) 377-0918
Mailing address
1409 GREY ROCK DR, FORT COLLINS, CO 80524-9452
(720) 300-5615
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2370
CO
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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