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NPI Code Detail

MEDICARE: NATURAL HEALTH ASSOCIATES LLC

MEDICARE: NATURAL HEALTH ASSOCIATES LLC
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 Therapist

General Provider Information

NPI Number : 1285179572
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATURAL HEALTH ASSOCIATES LLC
Provider Business Mailing Address
First Line : 313 W DRAKE RD
Second Line : SUITE 210
City : FORT COLLINS
State : CO
Zip : 80526-2846
Country : US
Telephone Number : 970-372-1277
Fax Number : 970-372-4437
Provider Business Practice Location Address
First Line : 313 W DRAKE RD
Second Line : SUITE 210
City : FORT COLLINS
State : CO
Zip : 80526-2846
Country : US
Telephone Number : 970-372-1277
Fax Number : 970-372-4437
Authorized Official
Title or Position : MANAGER
Name : KIMBERLEY BENJAMIN
Credential : L.AC.
Telephone Number : 970-372-1277
Provider Enumeration Date : 12/22/2016
Last Update Date : 12/22/2016

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Directions to “NATURAL HEALTH ASSOCIATES LLC ” Practice Location

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