Provider Demographics
NPI:1407066418
Name:REMENAR, KRISTIN G (CMT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:G
Last Name:REMENAR
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 1:4105 JAY ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-5020
Mailing Address - Country:US
Mailing Address - Phone:303-881-3308
Mailing Address - Fax:
Practice Address - Street 1:2550 YOUNGFIELD ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1033
Practice Address - Country:US
Practice Address - Phone:303-881-3308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist