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NPI Code Detail

MEDICARE: LESLIE CECIL RENQUIST-HUGHES CMT

MEDICARE:   LESLIE CECIL RENQUIST-HUGHES  CMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172M00000XMechanotherapist

General Provider Information

NPI Number : 1013123959
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE CECIL RENQUIST-HUGHES CMT
Provider Business Mailing Address
First Line : 2768 COMPASS DR
Second Line : SUITE 201
City : GRAND JUNCTION
State : CO
Zip : 81506-8729
Country : US
Telephone Number : 970-243-2004
Fax Number : 970-243-0528
Provider Business Practice Location Address
First Line : 2768 COMPASS DR
Second Line : SUITE 201
City : GRAND JUNCTION
State : CO
Zip : 81506-8729
Country : US
Telephone Number : 970-243-2004
Fax Number : 970-243-0528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ LESLIE CECIL RENQUIST-HUGHES CMT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.