Provider Demographics
NPI:1639868847
Name:BARMETTLER, BAILEY (CHSE, CSSE)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:BARMETTLER
Suffix:
Gender:F
Credentials:CHSE, CSSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 EMERY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1418
Mailing Address - Country:US
Mailing Address - Phone:720-745-0015
Mailing Address - Fax:
Practice Address - Street 1:2150 EMERY ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1418
Practice Address - Country:US
Practice Address - Phone:720-745-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1363914174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator