Micahel Deluca
Specialist/Technologist, Athletic Trainer in Fort Collins, CO. Individual provider (NPI-1).
NPI number1427400498
StatusActive
Last updated in NPPESJul 1, 2016
Details
- NPI
- 1427400498
- Entity type
- Individual (NPI-1)
- Name
- Micahel Deluca
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2016
- Last updated
- Jul 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CO | Yes |
Practice location
141 Moby ArenaFort Collins, CO 80523-0001
Phone 970-491-6756
Mailing address
2802 Iowa Dr Unit 104Fort Collins, CO 80525-4344
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