Provider Demographics
NPI:1639780810
Name:TEMPLETON, CAROLINE (LAC, MSTCM)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:LAC, MSTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11160 HURON ST STE 35
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3335
Mailing Address - Country:US
Mailing Address - Phone:720-936-4822
Mailing Address - Fax:
Practice Address - Street 1:11160 HURON ST STE 35
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3335
Practice Address - Country:US
Practice Address - Phone:720-936-4822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.002449171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist