Provider Demographics
NPI:1669610390
Name:HULETT, KRISTEN MAE (CMT, RMT, ACBT)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MAE
Last Name:HULETT
Suffix:
Gender:M
Credentials:CMT, RMT, ACBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 CANYON RIM TRL UNIT 305
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4724
Mailing Address - Country:US
Mailing Address - Phone:720-937-1915
Mailing Address - Fax:515-474-0742
Practice Address - Street 1:11911 N HIGHWAY 83 STE 109
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9074
Practice Address - Country:US
Practice Address - Phone:720-937-1915
Practice Address - Fax:515-474-0742
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO599225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist