Provider Demographics
NPI:1083921449
Name:MARING, CONNIE LYNN (RMT)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:LYNN
Last Name:MARING
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10715 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3619
Mailing Address - Country:US
Mailing Address - Phone:303-469-7588
Mailing Address - Fax:
Practice Address - Street 1:5140 W 120TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-3307
Practice Address - Country:US
Practice Address - Phone:303-451-6706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10713172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist