Individual
CHEZNEY KRISTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
3955 E EXPOSITION AVE STE 500, DENVER, CO 80209-5033
(303) 780-7377
Mailing address
PO BOX 19858, BOULDER, CO 80308-2858
(720) 339-5036
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
1623168
CO
163WM1400X
Nurse Massage Therapist (NMT)
7462
CO
Other
Enumeration date
11/04/2013
Last updated
11/04/2015
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