MEDICARE: DISCOVER MASSAGE, LLC

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

General Provider Information

NPI Number	:	1861751505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVER MASSAGE, LLC

Provider Business Mailing Address
First Line	:	353 W DRAKE RD
Second Line	:	SUITE 140
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	353 W DRAKE RD
Second Line	:	SUITE 140
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3071
Country	:	US
Telephone Number	:	970-581-2298
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SARAH FERREE
Credential	:
Telephone Number	:	970-581-2298

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

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Directions to “DISCOVER MASSAGE, LLC ” Practice Location

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