MEDICARE: ELISSA CHERI LIND

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	MT.0025389	CO

General Provider Information

NPI Number	:	1528917069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISSA CHERI LIND

Provider Business Mailing Address
First Line	:	RR 1 BOX 1031
Second Line	:
City	:	HARDIN
State	:	MT
Zip	:	59034-9618
Country	:	US
Telephone Number	:	406-629-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 W CRETE CIR UNIT 105
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-6959
Country	:	US
Telephone Number	:	406-629-0268
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “ ELISSA CHERI LIND ” Practice Location

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