Provider Demographics
NPI:1598988511
Name:FELKERS, KORINA (MST)
Entity Type:Individual
Prefix:
First Name:KORINA
Middle Name:
Last Name:FELKERS
Suffix:
Gender:F
Credentials:MST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E SIMPSON ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2297
Mailing Address - Country:US
Mailing Address - Phone:720-939-9080
Mailing Address - Fax:
Practice Address - Street 1:103 E SIMPSON ST
Practice Address - Street 2:STE. 100
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2297
Practice Address - Country:US
Practice Address - Phone:720-939-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist