Provider Demographics
NPI:1558506055
Name:FORBES, JANELLE CAROL (LMT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:CAROL
Last Name:FORBES
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 1:150 COUNTY ROAD 126
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-9284
Mailing Address - Country:US
Mailing Address - Phone:970-379-8217
Mailing Address - Fax:
Practice Address - Street 1:2001 BLAKE AVE
Practice Address - Street 2:STE 2A
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4249
Practice Address - Country:US
Practice Address - Phone:970-379-8217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT. 0000929225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist