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NPI Code Detail

MEDICARE: MS. DANIELLE MARIE DAVIS RMT

MEDICARE:  MS. DANIELLE MARIE DAVIS  RMT
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.0000683CO

General Provider Information

NPI Number : 1740616796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE MARIE DAVIS RMT
Provider Business Mailing Address
First Line : 5525 N UNION BLVD
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80918-1969
Country : US
Telephone Number : 719-260-5525
Fax Number :
Provider Business Practice Location Address
First Line : 5525 N UNION BLVD
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80918-1969
Country : US
Telephone Number : 719-260-5525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2013
Last Update Date : 09/23/2013

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Directions to “ MS. DANIELLE MARIE DAVIS RMT” Practice Location

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