Mimi M Fountain in Durango - Massage Therapist
Mimi M Fountain - NPI 1306004965
Mimi M Fountain is a Massage Therapist in Durango, Colorado. Mimi M Fountain practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mimi M Fountain is 1306004965. The last update date is 2008-05-30.
Mimi M Fountain's current location address is 1005 Waterfall Ln, Durango, Colorado. You can contact this provider via phone number 9707598872. The mailing address for Mimi M Fountain is 1005 Waterfall Ln, Durango, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mimi M Fountain |
|---|---|
| Address | 1005 Waterfall Ln, Durango, Colorado |
| Phone Number | 9707598872 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NCBTMB, RN |
NPI Number Detail
| NPI Number | 1306004965 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 1005 Waterfall Ln |
|---|---|
| City | Durango |
| State | Colorado (CO) |
| Post Code | 813013741 |
| Phone Number | 9707598872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 441885-00 |
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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 provider identifier assigned to Mimi M Fountain?
The Mimi M Fountain has been issued the NPI (National Provider Identifier) 1306004965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mimi M Fountain's facilities are geographically located?
The facilities of Mimi M Fountain are physically situated at the following location: 1005 Waterfall Ln, Durango, CO, 813013741.
What is the Mimi M Fountain's specialty and taxonomy code?
The Mimi M Fountain's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
When did the Mimi M Fountain receive its 1306004965?
The Mimi M Fountain was issued its 1306004965 on 2008-05-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mimi M Fountain, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mimi M Fountain, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-30.