Provider Demographics
NPI:1477936623
Name:RITCHIE, SUMMER (LAC)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 LOGGIE GULCH CIR
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-3665
Mailing Address - Country:US
Mailing Address - Phone:719-221-0129
Mailing Address - Fax:
Practice Address - Street 1:203 G ST STE C
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2036
Practice Address - Country:US
Practice Address - Phone:719-221-0129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1091171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist