MEDICARE: CHERYL ZGONENA CMT

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	9666	CO

General Provider Information

NPI Number	:	1215250857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ZGONENA CMT

Provider Business Mailing Address
First Line	:	2611 S LOGAN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5715
Country	:	US
Telephone Number	:	303-810-0043
Fax Number	:

Provider Business Practice Location Address
First Line	:	695 S COLORADO BLVD STE 265
Second Line	:	SYNERGY
City	:	DENVER
State	:	CO
Zip	:	80246-8012
Country	:	US
Telephone Number	:	303-759-1400
Fax Number	:

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

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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Directions to “ CHERYL ZGONENA CMT” Practice Location

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