Provider Demographics
NPI:1700310232
Name:CULP, HANNAH (LMT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:CULP
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2692 ABARR DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3156
Mailing Address - Country:US
Mailing Address - Phone:970-622-8775
Mailing Address - Fax:970-622-8761
Practice Address - Street 1:2692 ABARR DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3156
Practice Address - Country:US
Practice Address - Phone:970-622-8775
Practice Address - Fax:970-622-8761
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019878225700000X
CO173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist