Provider Demographics
NPI:1528200243
Name:ASMUS, MICHAEL J (LMT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:ASMUS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4674 SNOW MESA DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8615
Mailing Address - Country:US
Mailing Address - Phone:970-297-6576
Mailing Address - Fax:970-297-6599
Practice Address - Street 1:4674 SNOW MESA DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-8615
Practice Address - Country:US
Practice Address - Phone:970-297-6576
Practice Address - Fax:970-297-6599
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO56792163W00000X
CO1987225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163W00000XNursing Service ProvidersRegistered Nurse