Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0072434 | VT |
NPI | 1093127953 |
---|---|
Provider Name | Dr. Brita Mutti |
First Address | Colorado Springs, CO 80907-7463 |
Second Address | Colorado Springs, CO 80907-7463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 27/05/2014 |