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NPI Code Detail

MEDICARE: CAITLIN MAE STOCK LMT

MEDICARE: CAITLIN MAE STOCK 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 Therapist0008805CO

General Provider Information

NPI Number : 1154859759
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MAE STOCK LMT
Provider Business Mailing Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number : 970-663-2225
Fax Number :
Provider Business Practice Location Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number : 970-663-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2017
Last Update Date : 07/21/2022

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Directions to “ CAITLIN MAE STOCK LMT” Practice Location

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