MEDICARE: LUKE CAIN 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
1	225700000X	Massage Therapist	CAIN438978	CO

General Provider Information

NPI Number	:	1184088817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE CAIN LMT

Provider Business Mailing Address
First Line	:	3530 KINGSTON CIR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2815
Country	:	US
Telephone Number	:	970-556-3124
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 KINGSTON CIR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2815
Country	:	US
Telephone Number	:	970-556-3124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2016
Last Update Date	:	04/08/2016

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Directions to “ LUKE CAIN LMT” Practice Location

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