Healthcare Provider Details

I. General information

NPI: 1003331117
Provider Name (Legal Business Name): ROBIN TALMHAIN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 08/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W 16TH ST STE J
GREELEY CO
80634-6874
US

IV. Provider business mailing address

4538 LAKE MEAD DR
GREELEY CO
80634-9155
US

V. Phone/Fax

Practice location:
  • Phone: 970-573-6180
  • Fax:
Mailing address:
  • Phone: 970-573-6081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0017874
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: