Provider Demographics
NPI:1821319823
Name:BELT, TINA F (LAC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:F
Last Name:BELT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:F
Other - Last Name:LAUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:10200 W. 44TH AVE., STE. 110
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033
Mailing Address - Country:US
Mailing Address - Phone:303-881-1971
Mailing Address - Fax:720-773-7428
Practice Address - Street 1:10200 W. 44TH AVE., STE. 110
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-881-1971
Practice Address - Fax:720-773-7428
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1384171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist