Provider Demographics
NPI:1215293634
Name:SCHMITT, INGA (CMT)
Entity type:Individual
Prefix:MRS
First Name:INGA
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 KIPLING ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-2848
Mailing Address - Country:US
Mailing Address - Phone:720-335-1118
Mailing Address - Fax:303-238-5553
Practice Address - Street 1:1701 KIPLING ST STE 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-2848
Practice Address - Country:US
Practice Address - Phone:720-335-1118
Practice Address - Fax:303-238-5553
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3913225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist