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Individual

KRISTIN KELLEY ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3938 JFK PKWY UNIT 11F, FORT COLLINS, CO 80525-3087
(970) 204-0516
(970) 204-6812
Mailing address
3938 JFK PKWY,SUITE F-11, FORT COLLINS, CO 80525
(970) 204-0516
(970) 204-6812

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7327
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9702040516
MEDICAL MASSAGETHERAPY
Enumeration date
06/23/2009
Last updated
06/23/2009
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