MEDICARE: DR. KRISTY K. GENTIS RINN D.C.

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
1	111N00000X	Chiropractor	6261	CO

General Provider Information

NPI Number	:	1992960629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTY K. GENTIS RINN D.C.

Provider Business Mailing Address
First Line	:	505 ANGLERS DR STE 102
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8836
Country	:	US
Telephone Number	:	970-879-6501
Fax Number	:	970-879-6502

Provider Business Practice Location Address
First Line	:	505 ANGLERS DR STE 102
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8836
Country	:	US
Telephone Number	:	970-879-6501
Fax Number	:	970-879-6502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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