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NPI Code Detail

MEDICARE: MS. MARSHA CARNAHAN LMT

MEDICARE: MS. MARSHA CARNAHAN LMT
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 Therapist702094CO

General Provider Information

NPI Number : 1639372741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA CARNAHAN LMT
Provider Business Mailing Address
First Line : 2233 ACADEMY PL STE 50
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1679
Country : US
Telephone Number : 719-347-9309
Fax Number : 719-347-9311
Provider Business Practice Location Address
First Line : 2233 ACADEMY PL STE 50
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1679
Country : US
Telephone Number : 719-347-9309
Fax Number : 719-347-9311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MARSHA CARNAHAN LMT” Practice Location

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