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NPI Code Detail

MEDICARE: BETH ANN SANTOS RMT, NCTMB

MEDICARE:   BETH ANN SANTOS  RMT, NCTMB
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 Therapist759CO
2225700000XMassage Therapist387714-00CO

General Provider Information

NPI Number : 1144453838
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANN SANTOS RMT, NCTMB
Provider Business Mailing Address
First Line : 7330 COTTON DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-6392
Country : US
Telephone Number : 719-930-5536
Fax Number : 719-260-5578
Provider Business Practice Location Address
First Line : 7075 CAMPUS DR STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-6524
Country : US
Telephone Number : 719-930-5536
Fax Number : 719-260-5578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2009
Last Update Date : 04/15/2011

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Directions to “ BETH ANN SANTOS RMT, NCTMB” Practice Location

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