Provider Demographics
NPI:1801110416
Name:CHIARO, BOBBIE C (CMT)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:C
Last Name:CHIARO
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:C
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:140 WYNDHAM WAY
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504
Mailing Address - Country:US
Mailing Address - Phone:970-985-0602
Mailing Address - Fax:
Practice Address - Street 1:140 WYNDHAM WAY
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507
Practice Address - Country:US
Practice Address - Phone:970-985-0602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO879172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist