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NPI Code Detail

MEDICARE: FRANK S CHAVEZ MASSAGE THERAPIST

MEDICARE:   FRANK S CHAVEZ  MASSAGE THERAPIST
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 : 1629549613
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK S CHAVEZ MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 26 GRAND AVE
Second Line :
City : MANITOU SPRINGS
State : CO
Zip : 80829-1726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26 GRAND AVE
Second Line :
City : MANITOU SPRINGS
State : CO
Zip : 80829-1726
Country : US
Telephone Number : 719-360-7312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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Directions to “ FRANK S CHAVEZ MASSAGE THERAPIST” Practice Location

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