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NPI Code Detail

MEDICARE: KATHERINE A DOBSON NCMT

MEDICARE:   KATHERINE A DOBSON  NCMT
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 Therapist6825CO

General Provider Information

NPI Number : 1134459845
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A DOBSON NCMT
Provider Business Mailing Address
First Line : 1309 E 3RD AVE
Second Line : #22
City : DURANGO
State : CO
Zip : 81301-5255
Country : US
Telephone Number : 970-375-0325
Fax Number :
Provider Business Practice Location Address
First Line : 1309 E 3RD AVE
Second Line : #22
City : DURANGO
State : CO
Zip : 81301-5255
Country : US
Telephone Number : 970-375-0325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2009
Last Update Date : 12/31/2009

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Directions to “ KATHERINE A DOBSON NCMT” Practice Location

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