Provider Demographics
NPI:1679740955
Name:DUNCAN, ANDY (CMT)
Entity type:Individual
Prefix:
First Name:ANDY
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-6838
Mailing Address - Country:US
Mailing Address - Phone:970-302-0855
Mailing Address - Fax:
Practice Address - Street 1:2640 11TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-8441
Practice Address - Country:US
Practice Address - Phone:970-302-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist