Provider Demographics
NPI:1700849429
Name:BLUNK, RACHEL (LAC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BLUNK
Suffix:
Gender:F
Credentials:LAC
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Mailing Address - Street 1:2601 S LEMAY AVE
Mailing Address - Street 2:#25
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2295
Mailing Address - Country:US
Mailing Address - Phone:970-223-4422
Mailing Address - Fax:970-223-2241
Practice Address - Street 1:2601 S LEMAY AVE
Practice Address - Street 2:#25
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2295
Practice Address - Country:US
Practice Address - Phone:970-223-4422
Practice Address - Fax:970-223-2241
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO550171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist