MEDICARE: ARYANNA PAIGE ANGELLO 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
1	225700000X	Massage Therapist	MT.0028201	CO

General Provider Information

NPI Number	:	1790628949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYANNA PAIGE ANGELLO LMT

Provider Business Mailing Address
First Line	:	2646 PATTERSON RD STE A
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1994
Country	:	US
Telephone Number	:	970-248-9833
Fax Number	:	970-248-9835

Provider Business Practice Location Address
First Line	:	2646 PATTERSON RD STE A
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1994
Country	:	US
Telephone Number	:	970-248-9833
Fax Number	:	970-248-9835

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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