Provider Demographics
NPI:1093127953
Name:MUTTI, BRITA (ND)
Entity Type:Individual
Prefix:DR
First Name:BRITA
Middle Name:
Last Name:MUTTI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E ESPANOLA ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7463
Mailing Address - Country:US
Mailing Address - Phone:206-919-5560
Mailing Address - Fax:
Practice Address - Street 1:224 E ESPANOLA ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-7463
Practice Address - Country:US
Practice Address - Phone:206-919-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0072434175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath