MEDICARE: MR. ANH HOANG NGUYEN 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.0005792	CO

General Provider Information

NPI Number	:	1972434454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANH HOANG NGUYEN LMT

Provider Business Mailing Address
First Line	:	12661 JERSEY CIR W
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80602-4657
Country	:	US
Telephone Number	:	303-425-7298
Fax Number	:

Provider Business Practice Location Address
First Line	:	8670 WOLFF CT STE 205
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3692
Country	:	US
Telephone Number	:	303-425-7298
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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