Mary Ellen (Nmn) Lake in Colorado Springs - Massage Therapist
Mary Ellen (Nmn) Lake - NPI 1952513996
Mary Ellen (Nmn) Lake is a Massage Therapist in Colorado Springs, Colorado. Mary Ellen (Nmn) Lake practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mary Ellen (Nmn) Lake is 1952513996. The last update date is 2007-07-08.
Mary Ellen (Nmn) Lake's current location address is 2020 W Colorado Ave, Colorado Springs, Colorado. You can contact this provider via phone number 7196601686. The mailing address for Mary Ellen (Nmn) Lake is 2020 W Colorado Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen (Nmn) Lake |
|---|---|
| Address | 2020 W Colorado Ave, Colorado Springs, Colorado |
| Phone Number | 7196601686 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT, CNMT |
NPI Number Detail
| NPI Number | 1952513996 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 W Colorado Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809043882 |
| Phone Number | 7196601686 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 709188 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Ellen (Nmn) Lake by the Centers for Medicare & Medicaid Services?
The Mary Ellen (Nmn) Lake has been issued the NPI (National Provider Identifier) 1952513996 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary Ellen (Nmn) Lake's facilities are situated?
The facilities of Mary Ellen (Nmn) Lake are physically located at the following address: 2020 W Colorado Ave, Colorado Springs, CO, 809043882.
What is the Mary Ellen (Nmn) Lake's specialty and taxonomy code?
The Mary Ellen (Nmn) Lake's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Mary Ellen (Nmn) Lake receive the assignment of its 1952513996 from the Centers for Medicare & Medicaid Services?
The Mary Ellen (Nmn) Lake was issued its 1952513996 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the details pertaining to Mary Ellen (Nmn) Lake last refreshed?
The information related to the Mary Ellen (Nmn) Lake, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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