Provider Demographics
NPI:1780006650
Name:BARKER, FERN AURORA (CMT, BA)
Entity Type:Individual
Prefix:MRS
First Name:FERN
Middle Name:AURORA
Last Name:BARKER
Suffix:
Gender:F
Credentials:CMT, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10903 US HWY
Mailing Address - Street 2:#E203 ASPEN PARK CHIROPRACTIC AND MASSAGE CENTER
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433
Mailing Address - Country:US
Mailing Address - Phone:303-838-8443
Mailing Address - Fax:
Practice Address - Street 1:10903 US HIGHWAY 285
Practice Address - Street 2:#E203
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7731
Practice Address - Country:US
Practice Address - Phone:303-838-8443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008257225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist