Provider Demographics
NPI:1588724876
Name:PRICE, INA I (CMT)
Entity type:Individual
Prefix:
First Name:INA
Middle Name:I
Last Name:PRICE
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 1:3475 S MARION ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2919
Mailing Address - Country:US
Mailing Address - Phone:303-761-9121
Mailing Address - Fax:
Practice Address - Street 1:3475 S MARION ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2919
Practice Address - Country:US
Practice Address - Phone:303-761-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist