Healthcare Provider Details

I. General information

NPI: 1871749564
Provider Name (Legal Business Name): MONICA BRUZZA CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA SMITH

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 CENTRE AVE
FORT COLLINS CO
80526-1849
US

IV. Provider business mailing address

921 PEAR ST
FORT COLLINS CO
80521-3100
US

V. Phone/Fax

Practice location:
  • Phone: 970-893-7600
  • Fax:
Mailing address:
  • Phone: 970-481-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: