MEDICARE: OLIVIA MERRILL

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	MT0028042	CO

General Provider Information

NPI Number	:	1316806144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA MERRILL

Provider Business Mailing Address
First Line	:	3834 S CHESTER ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-7353
Country	:	US
Telephone Number	:	719-399-1566
Fax Number	:

Provider Business Practice Location Address
First Line	:	3834 S CHESTER ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-7353
Country	:	US
Telephone Number	:	207-844-3341
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ OLIVIA MERRILL ” Practice Location

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