Fort Collins Medi-Spa

LBN: Fort Collins Medi-Spa
Fort Collins Medi-Spa is an health care organization with primary practice located at 4103 Boardwalk Dr Suite 100, Fort Collins CO 80525-5931. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Other Service Providers / Reflexologist. Other Service Providers / Mechanotherapist is the primary health care specialty. Fort Collins Medi-Spa can be contacted via phone (970) 204-0400, or through Anderson, Kevin J via phone (970) 204-0400.

Contact Information

Primary practice address
4103 Boardwalk Dr Suite 100 Fort Collins CO 80525-5931
Phone: (970) 204-0400
Fax: (970) 377-1082
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Kevin J Doctor of Optometry (OD)
Phone: (970) 204-0400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X
Other Service Providers / Reflexologist 173C00000X

Profile Details

NPI number 1134450539
LBN Legal business name Fort Collins Medi-Spa
DBA Doing business as
Authorized official Anderson, Kevin J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2010
Last updated Jan 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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