Provider Demographics
NPI:1679712004
Name:WELLS, YUKO TSURUTA
Entity type:Individual
Prefix:
First Name:YUKO
Middle Name:TSURUTA
Last Name:WELLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E 17TH AVE
Mailing Address - Street 2:SUITE23
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1437
Mailing Address - Country:US
Mailing Address - Phone:303-888-5691
Mailing Address - Fax:
Practice Address - Street 1:1001 E 17TH AVE
Practice Address - Street 2:SUITE23
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1437
Practice Address - Country:US
Practice Address - Phone:303-888-5691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1386171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist