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NPI Code Detail

MEDICARE: DANETTE SIRAVO

MEDICARE: DANETTE SIRAVO
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 Therapist9224CO

General Provider Information

NPI Number : 1184921454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANETTE SIRAVO
Provider Business Mailing Address
First Line : 11890 W 64TH AVE
Second Line :
City : ARVADA
State : CO
Zip : 80004-4324
Country : US
Telephone Number : 303-423-6091
Fax Number :
Provider Business Practice Location Address
First Line : 11890 W 64TH AVE
Second Line :
City : ARVADA
State : CO
Zip : 80004-4324
Country : US
Telephone Number : 303-423-6091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2011
Last Update Date : 02/22/2011

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Directions to “ DANETTE SIRAVO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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