Provider Demographics
NPI:1275084717
Name:TOON, CHELSEA (LMT, CR)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:TOON
Suffix:
Gender:F
Credentials:LMT, CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 S COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2199
Mailing Address - Country:US
Mailing Address - Phone:970-677-2250
Mailing Address - Fax:970-677-2251
Practice Address - Street 1:2721 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2199
Practice Address - Country:US
Practice Address - Phone:970-677-2250
Practice Address - Fax:970-677-2251
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0017922225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist