Provider Demographics
NPI:1538209903
Name:CROWNING TOUCH THERAPETICS
Entity type:Organization
Organization Name:CROWNING TOUCH THERAPETICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT,PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-805-2282
Mailing Address - Street 1:18425 PONY EXPRESS DR.
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7379
Mailing Address - Country:US
Mailing Address - Phone:303-805-2282
Mailing Address - Fax:303-805-2992
Practice Address - Street 1:18425 PONY EXPRESS DR.
Practice Address - Street 2:SUITE 107
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7379
Practice Address - Country:US
Practice Address - Phone:303-805-2282
Practice Address - Fax:303-805-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO315171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty