Provider Demographics
NPI:1457514291
Name:YEAGER, ANN-MARIE (MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:YEAGER
Suffix:
Gender:F
Credentials:MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5745
Mailing Address - Country:US
Mailing Address - Phone:970-663-3355
Mailing Address - Fax:
Practice Address - Street 1:441 E 4TH ST STE 106
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5653
Practice Address - Country:US
Practice Address - Phone:970-663-4548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1042171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist