Provider Demographics
NPI:1205720893
Name:LETTBROWN, RYAN ANN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ANN
Last Name:LETTBROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 DOWNEND ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-4523
Mailing Address - Country:US
Mailing Address - Phone:719-428-8115
Mailing Address - Fax:
Practice Address - Street 1:750 GARDEN OF THE GODS RD STE 104
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3553
Practice Address - Country:US
Practice Address - Phone:719-445-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0016686225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist