Provider Demographics
NPI:1881921583
Name:ALVARADO, LAURA (RMT, CMT, NMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RMT, CMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 MATHEWS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-7264
Mailing Address - Country:US
Mailing Address - Phone:303-665-6240
Mailing Address - Fax:
Practice Address - Street 1:631 MATHEWS CIRCLE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-7264
Practice Address - Country:US
Practice Address - Phone:303-665-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2000-60225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist