Emma Jayne Spofford, CMT
Individual provider Active NPI Specialist · Fairplay, CO
NPI 1366697161 · NPPES record last updated Mar 2, 2012
Key facts
- NPI
- 1366697161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 540 Front Street
Fairplay, CO 80440 - Phone
- (719) 836-1833
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
540 Front Street
Fairplay, CO 80440
Mailing address
PO Box 2163
Fairplay, CO 80440-2163
Phone (719) 839-0893
Other providers in Fairplay, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.