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NPI Code Detail

MEDICARE: MS. ANN MATHEWS L.M.T.

MEDICARE: MS. ANN MATHEWS L.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 TherapistMT 0000800CO

General Provider Information

NPI Number : 1558701813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN MATHEWS L.M.T.
Provider Business Mailing Address
First Line : 1662 ROSLYN ST
Second Line :
City : DENVER
State : CO
Zip : 80220-1937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 AURORA CT
Second Line : MAIL STOP F743, SUITE 5501
City : AURORA
State : CO
Zip : 80045-2541
Country : US
Telephone Number : 720-848-1090
Fax Number : 720-848-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 07/01/2013

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