Provider Demographics
NPI:1063180917
Name:QUINTERO, CLAIRE (LMT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:SLOSSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:118 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-1326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 5TH ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5107
Practice Address - Country:US
Practice Address - Phone:970-833-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0019700225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist