MEDICARE: REBECCA ARNDT 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	MT0001241	CO

General Provider Information

NPI Number	:	1912302027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ARNDT LMT

Provider Business Mailing Address
First Line	:	441 EAGLE PASS
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-9411
Country	:	US
Telephone Number	:	970-208-7262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 FLORIDA RD STE 105
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-5792
Country	:	US
Telephone Number	:	970-208-7262
Fax Number	:

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

Provider Enumeration Date	:	10/31/2014
Last Update Date	:	10/31/2014

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