Healthcare Provider Details

I. General information

NPI: 1891024014
Provider Name (Legal Business Name): STEVE LYNN RMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 E FLORIDA AVE SUITE 206B
DENVER CO
80222-3620
US

IV. Provider business mailing address

4105 E FLORIDA AVE SUITE 206B
DENVER CO
80222-3620
US

V. Phone/Fax

Practice location:
  • Phone: 303-947-2917
  • Fax:
Mailing address:
  • Phone: 303-947-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number584
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: