Healthcare Provider Details

I. General information

NPI: 1871642504
Provider Name (Legal Business Name): J. TROY-ANN KREBS L.AC., CNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9528 E 112TH PL
HENDERSON CO
80640-9349
US

IV. Provider business mailing address

9528 E 112TH PL
HENDERSON CO
80640-9349
US

V. Phone/Fax

Practice location:
  • Phone: 303-470-1995
  • Fax: 303-346-7628
Mailing address:
  • Phone: 303-470-1995
  • Fax: 303-346-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number811
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: