Healthcare Provider Details

I. General information

NPI: 1740194869
Provider Name (Legal Business Name): MATTHEW GRAEME STRAWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9610 TAYLOR RIVER CIR
LITTLETON CO
80125-8439
US

IV. Provider business mailing address

9610 TAYLOR RIVER CIR
LITTLETON CO
80125-8439
US

V. Phone/Fax

Practice location:
  • Phone: 720-329-9682
  • Fax:
Mailing address:
  • Phone: 720-329-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0020289
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: