Provider Demographics
NPI:1508162298
Name:HOLLSTROM, CATHERINE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:HOLLSTROM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 S COLLEGE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3015
Mailing Address - Country:US
Mailing Address - Phone:970-266-0003
Mailing Address - Fax:970-266-8077
Practice Address - Street 1:4021 S COLLEGE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3015
Practice Address - Country:US
Practice Address - Phone:970-266-0003
Practice Address - Fax:970-266-8077
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor