MEDICARE: VALORIE VALLEJOS 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.0004322	CO

General Provider Information

NPI Number	:	1811852635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALORIE VALLEJOS LMT

Provider Business Mailing Address
First Line	:	2764 COMPASS DR STE 103
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8755
Country	:	US
Telephone Number	:	970-640-6007
Fax Number	:	970-243-0945

Provider Business Practice Location Address
First Line	:	2764 COMPASS DR STE 103
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8755
Country	:	US
Telephone Number	:	970-640-6007
Fax Number	:	970-243-0945

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ VALORIE VALLEJOS LMT” Practice Location

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