MEDICARE: KAEGAN ALORA TAFT

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.0022188	CO

General Provider Information

NPI Number	:	1932839701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAEGAN ALORA TAFT

Provider Business Mailing Address
First Line	:	3655 S VERBENA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1563
Country	:	US
Telephone Number	:	303-909-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 S TAMARAC DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1421
Country	:	US
Telephone Number	:	303-406-0224
Fax Number	:

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

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	06/14/2022

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Directions to “ KAEGAN ALORA TAFT ” Practice Location

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