Provider Demographics
NPI:1194075366
Name:LIGGIO, REMY MARIE (LIC AC, MAOM,)
Entity type:Individual
Prefix:
First Name:REMY
Middle Name:MARIE
Last Name:LIGGIO
Suffix:
Gender:F
Credentials:LIC AC, MAOM,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 S COLLEGE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3057
Mailing Address - Country:US
Mailing Address - Phone:720-515-7638
Mailing Address - Fax:970-266-8077
Practice Address - Street 1:4021 S COLLEGE AVE STE B
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3057
Practice Address - Country:US
Practice Address - Phone:720-515-7638
Practice Address - Fax:970-266-8077
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001931171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist