Individual
KRISTIN KELLEY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
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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