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NPI Code Detail

MEDICARE: JULIE ANN MCLAUGHLIN

MEDICARE:   JULIE ANN MCLAUGHLIN
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 TherapistMT.0024572CO

General Provider Information

NPI Number : 1194477570
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN MCLAUGHLIN
Provider Business Mailing Address
First Line : 1203 DARBY ST APT 3
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3943
Country : US
Telephone Number : 509-710-6400
Fax Number :
Provider Business Practice Location Address
First Line : 1712 W UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2958
Country : US
Telephone Number : 719-247-8441
Fax Number : 303-265-9768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ JULIE ANN MCLAUGHLIN ” Practice Location

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