MEDICARE: MS. CAROLYN M. MARKER 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.0004741	CO

General Provider Information

NPI Number	:	1851140495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN M. MARKER LMT

Provider Business Mailing Address
First Line	:	7731 SHOSHONE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4204
Country	:	US
Telephone Number	:	720-971-7121
Fax Number	:

Provider Business Practice Location Address
First Line	:	7731 SHOSHONE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4204
Country	:	US
Telephone Number	:	720-971-7121
Fax Number	:

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

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	05/17/2024

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