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NPI Code Detail

MEDICARE: REBECCA SIEVERS CMT

MEDICARE: REBECCA SIEVERS CMT
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 : 1861457228
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SIEVERS CMT
Provider Business Mailing Address
First Line : 4700 E ILIFF AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-6025
Country : US
Telephone Number : 303-584-8900
Fax Number : 720-524-9475
Provider Business Practice Location Address
First Line : 4700 E ILIFF AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-6025
Country : US
Telephone Number : 303-584-8900
Fax Number : 720-524-9475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 07/08/2007

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