MEDICARE: COLORADO MASSAGE THERAPIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1366621864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO MASSAGE THERAPIES

Provider Business Mailing Address
First Line	:	88 INVERNESS CIR E
Second Line	:	F103
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5304
Country	:	US
Telephone Number	:	303-790-1710
Fax Number	:	303-790-1715

Provider Business Practice Location Address
First Line	:	88 INVERNESS CIR E
Second Line	:	F103
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5304
Country	:	US
Telephone Number	:	303-790-1710
Fax Number	:	303-790-1715

Authorized Official
Title or Position	:	OWNER
Name	:	JANE ARIAN
Credential	:	MT
Telephone Number	:	303-898-9222

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	11/01/2007

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Directions to “COLORADO MASSAGE THERAPIES ” Practice Location

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