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NPI Code Detail

MEDICARE: CARA RACHAEL BERNDT C.M.T.

MEDICARE: CARA RACHAEL BERNDT C.M.T.
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 Therapist4651CO

General Provider Information

NPI Number : 1215267422
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA RACHAEL BERNDT C.M.T.
Provider Business Mailing Address
First Line : 7532 SAULSBURY ST
Second Line :
City : ARVADA
State : CO
Zip : 80003-2772
Country : US
Telephone Number : 303-704-6724
Fax Number :
Provider Business Practice Location Address
First Line : 5140 W 120TH AVE UNIT 100
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-3336
Country : US
Telephone Number : 303-451-6706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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