Provider Demographics
NPI:1760700140
Name:BARBARA KING, INC
Entity Type:Organization
Organization Name:BARBARA KING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:970-206-1696
Mailing Address - Street 1:PO BOX 273076
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80527-3076
Mailing Address - Country:US
Mailing Address - Phone:970-206-1696
Mailing Address - Fax:
Practice Address - Street 1:4745 BOARDWALK DR
Practice Address - Street 2:BLDG C-3
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3768
Practice Address - Country:US
Practice Address - Phone:970-206-1696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO566225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty