Laura Graham
Individual provider Active NPI Massage Therapist · Longmont, CO
NPI 1043689649 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1043689649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT.0013833 (CO)
- Practice address
- 1860 Industrial Cir
Longmont, CO 80501-6559 - Phone
- (303) 682-2440
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0013833 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0013833 | CO | Yes |
Addresses
Primary practice location
1860 Industrial Cir
Longmont, CO 80501-6559
Mailing address
1860 Industrial Cir
Longmont, CO 80501-6559
Other providers in Longmont, CO
- Kymbre Sands Governson
- Alexandra Gozdzialski
- Mary C Graeff Gomez
- Tamara Graff
- Callie Graham
- Susan Graham
- Grand Slam Supports
- Jennifer Grande
- David Granelli
- Granite Healthcare, Inc.
All providers in Longmont, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.