SearchColorado171100000X

Amber Russell, L.AC, DIPL.AC

NPI 1811279060 · on the registry since 2011 · sole proprietor

Practice

Address
431 Main St
Unit 2
Lyons, CO 80540
Phone
(720) 445-5966

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado