Provider Demographics
NPI:1750583472
Name:REMES, GARY FRANK (LMT)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:FRANK
Last Name:REMES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 SAN MARCO DR.
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:96741-1286
Mailing Address - Country:US
Mailing Address - Phone:720-505-1541
Mailing Address - Fax:
Practice Address - Street 1:1800 30TH ST
Practice Address - Street 2:220A
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1088
Practice Address - Country:US
Practice Address - Phone:720-505-1541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1069982OtherMASSAGE THERAPIST