Provider Demographics
NPI:1659777878
Name:LOFFLER, KERRY (RMT)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:
Last Name:LOFFLER
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6671 STOVE PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:BELLVUE
Mailing Address - State:CO
Mailing Address - Zip Code:80512-6919
Mailing Address - Country:US
Mailing Address - Phone:970-222-6187
Mailing Address - Fax:
Practice Address - Street 1:2807 DUNBAR AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2279
Practice Address - Country:US
Practice Address - Phone:970-222-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-16
Last Update Date:2014-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10232225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist