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NPI Code Detail

MEDICARE: LUIS OCTAVIO MAYBE LMT

MEDICARE: LUIS OCTAVIO MAYBE LMT
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
1225700000XMassage Therapist0018847CO

General Provider Information

NPI Number : 1104328079
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS OCTAVIO MAYBE LMT
Provider Business Mailing Address
First Line : 8811 E HAMPDEN AVE STE 102
Second Line :
City : DENVER
State : CO
Zip : 80231-4931
Country : US
Telephone Number : 720-589-1824
Fax Number :
Provider Business Practice Location Address
First Line : 8811 E HAMPDEN AVE STE 102
Second Line :
City : DENVER
State : CO
Zip : 80231-4931
Country : US
Telephone Number : 720-589-1824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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Directions to “ LUIS OCTAVIO MAYBE LMT” Practice Location

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