Provider Demographics
NPI:1235604125
Name:MICHAELS, CRISTINA M (MS LAC)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:M
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:MS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 W 14TH AVE STE D
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4860
Mailing Address - Country:US
Mailing Address - Phone:720-515-5058
Mailing Address - Fax:
Practice Address - Street 1:8585 W 14TH AVE STE D
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4860
Practice Address - Country:US
Practice Address - Phone:720-515-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002368171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherCIGNA/UNITEDHEALTHCARE