Provider Demographics
NPI:1336466077
Name:LYNCH, CHLOE (LMT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 S FRASER ST
Mailing Address - Street 2:UNIT # 5
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4533
Mailing Address - Country:US
Mailing Address - Phone:303-695-1609
Mailing Address - Fax:
Practice Address - Street 1:2226 S FRASER ST
Practice Address - Street 2:UNIT # 5
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4533
Practice Address - Country:US
Practice Address - Phone:303-695-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9937225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist