MEDICARE: SCOT HARRISON FEIN

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.0014069	CO

General Provider Information

NPI Number	:	1649616145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOT HARRISON FEIN

Provider Business Mailing Address
First Line	:	1323 E 14TH AVE
Second Line	:	#14A
City	:	DENVER
State	:	CO
Zip	:	80218-5402
Country	:	US
Telephone Number	:	719-659-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 E 14TH AVE
Second Line	:	#14A
City	:	DENVER
State	:	CO
Zip	:	80218-5402
Country	:	US
Telephone Number	:	719-659-7980
Fax Number	:

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

Provider Enumeration Date	:	05/12/2013
Last Update Date	:	01/14/2015

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Directions to “ SCOT HARRISON FEIN ” Practice Location

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