Provider Demographics
NPI:1205241684
Name:CULHANE, JOSEPH (EDD, CERT ROLFER)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:CULHANE
Suffix:
Gender:M
Credentials:EDD, CERT ROLFER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 WOODROSE CT
Mailing Address - Street 2:NONE
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6934
Mailing Address - Country:US
Mailing Address - Phone:970-215-8737
Mailing Address - Fax:
Practice Address - Street 1:344 E MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2914
Practice Address - Country:US
Practice Address - Phone:970-215-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO273718926174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist