MEDICARE: TANYA J HALDEN ATC, LAT, LMT, MDNC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225700000X	Massage Therapist
2	2255A2300X	Athletic Trainer
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1700902517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA J HALDEN ATC, LAT, LMT, MDNC

Provider Business Mailing Address
First Line	:	PO BOX 270673
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-0011
Country	:	US
Telephone Number	:	720-252-7940
Fax Number	:

Provider Business Practice Location Address
First Line	:	10390 BRADFORD RD UNIT 202
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-6416
Country	:	US
Telephone Number	:	720-288-2625
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/18/2026

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