NPI 1114677630

Alex Willen, LMTBCSI

Practitioner Mechanotherapist Fort Collins, CO

Practice location

Address: 300 E Horsetooth Rd STE 200, Fort Collins, CO 80525-3154
Phone: (845) 531-9558
Mailing address: 2807 Middlesborough CT, Fort Collins, CO 80525-2331

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT.0022398 (CO)

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Registry record

NPI: 1114677630
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2022
Record last updated: 27 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.