Provider Demographics
NPI:1154672293
Name:HARVEY, KRISTI LEA (CMT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEA
Last Name:HARVEY
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N UNCOMPAHGRE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3973
Mailing Address - Country:US
Mailing Address - Phone:970-209-7329
Mailing Address - Fax:
Practice Address - Street 1:22 N UNCOMPAHGRE AVE STE 6
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3973
Practice Address - Country:US
Practice Address - Phone:970-209-7329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7074225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist