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NPI Code Detail

MEDICARE: SARA TORNES BATES LAC.

MEDICARE:   SARA TORNES BATES  LAC.
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
1171100000XAcupuncturistACU.0002293CO

General Provider Information

NPI Number : 1477893055
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA TORNES BATES LAC.
Provider Business Mailing Address
First Line : 1730 S COLLEGE AVE STE 301
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1073
Country : US
Telephone Number : 970-758-5777
Fax Number :
Provider Business Practice Location Address
First Line : 1730 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1073
Country : US
Telephone Number : 970-658-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 09/02/2022

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Directions to “ SARA TORNES BATES LAC.” Practice Location

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