Provider Demographics
NPI:1386073435
Name:GABRIEL, KRISTI (RMT,NBCR)
Entity type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:RMT,NBCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 WADSWORTH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-0922
Mailing Address - Country:US
Mailing Address - Phone:303-425-7298
Mailing Address - Fax:
Practice Address - Street 1:8725 WADSWORTH BLVD STE A
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-0922
Practice Address - Country:US
Practice Address - Phone:303-425-7298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0015200302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization