Provider Demographics
NPI:1629227814
Name:HOCKING, LORETTA ANNE
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:ANNE
Last Name:HOCKING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10642 KING ST
Mailing Address - Street 2:8120 SHERIDAN BLVD. C219
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2206
Mailing Address - Country:US
Mailing Address - Phone:303-999-1920
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD C219
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:303-999-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2837201225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist