Provider Demographics
NPI:1538618103
Name:RAMPONE-GULDER, HOLLY (DAC, MS, LAC)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:RAMPONE-GULDER
Suffix:
Gender:F
Credentials:DAC, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 STOVER ST UNIT F
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4643
Mailing Address - Country:US
Mailing Address - Phone:970-493-0025
Mailing Address - Fax:
Practice Address - Street 1:2550 STOVER ST UNIT F
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4643
Practice Address - Country:US
Practice Address - Phone:970-493-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist