Provider Demographics
NPI:1790951465
Name:CARAG, COURTNEY COALE (ND, LAC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:COALE
Last Name:CARAG
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 N DOWNING ST STE D
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3982
Mailing Address - Country:US
Mailing Address - Phone:720-663-7194
Mailing Address - Fax:720-438-7102
Practice Address - Street 1:3405 N DOWNING ST STE D
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3982
Practice Address - Country:US
Practice Address - Phone:720-663-7194
Practice Address - Fax:720-438-7102
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO113175F00000X
CO1308171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath