MEDICARE: YVONNE ALLMARAS LMT

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	MT.0018457	CO

General Provider Information

NPI Number	:	1598272817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE ALLMARAS LMT

Provider Business Mailing Address
First Line	:	564 W SHEPPERD AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-2325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 S SANTA FE DR STE 215
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-4458
Country	:	US
Telephone Number	:	720-272-6783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	01/08/2018

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