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General NPI Number Information
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NPI Number | 1871000455
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Entity Type | Organization
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Legal Business Name | MASSAGE IS HEALING, LLC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 26291 MAIN ST
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City | CONIFER
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State | CO
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Zip | 80433-8500
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Country | US
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Telephone | 720-545-8601
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Fax |
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Provider Business Mailing Address
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Address Line | 246 TAPADERO RD
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City | BAILEY
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State | CO
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Zip | 80421-1034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST/OWNER
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Name | BETSY KUGLIN
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Credential | LMT
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Telephone | 720-545-8601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0016648
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License Number State | CO
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