Healthcare Provider Details

I. General information

NPI: 1851690309
Provider Name (Legal Business Name): TERESA A RANKIN MT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4490 BENT BROTHERS BLVD STE F
COLORADO CITY CO
81019-9990
US

IV. Provider business mailing address

10199 SINGER LN
RYE CO
81069-8709
US

V. Phone/Fax

Practice location:
  • Phone: 719-338-5032
  • Fax:
Mailing address:
  • Phone: 719-338-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number11128
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: