MEDICARE: INNEED MEDICAL SUPPLY LLC

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.0011874	CO

General Provider Information

NPI Number	:	1053810630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNEED MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	PO BOX 620610
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80162-0610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 S PIERCE ST STE 100N
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-7209
Country	:	US
Telephone Number	:	720-985-9200
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	KEVIN ANNE MCGEE
Credential	:	LMT
Telephone Number	:	720-985-9200

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	02/08/2018

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