Provider Demographics
NPI:1932349727
Name:PARKER, DEVON
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CMT
Mailing Address - Street 1:3938 JOHN F KENNEDY PARKWAY, SUITE F 11
Mailing Address - Street 2:MEDICAL MASSAGE OF THE ROCKIES
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3086
Mailing Address - Country:US
Mailing Address - Phone:970-204-0516
Mailing Address - Fax:970-204-6812
Practice Address - Street 1:3938 JOHN F KENNEDY PARKWAY, SUITE F 11
Practice Address - Street 2:MEDICAL MASSAGE OF THE ROCKIES
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80527-1275
Practice Address - Country:US
Practice Address - Phone:970-204-0516
Practice Address - Fax:970-204-6812
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist