Colleen Ann Alarcon, CMT

Individual provider Active NPI Massage Therapist · El Cajon, CA

NPI 1134570385 · NPPES record last updated Jun 29, 2016

Key facts

NPI
1134570385
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
65244 (CA)
Practice address
1149 N 2ND St
El Cajon, CA 92021-5024
Phone
(619) 440-2440
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
65244CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel'S Massage & Holistic Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 65244 CA Yes

Addresses

Primary practice location

1149 N 2ND St
El Cajon, CA 92021-5024

Mailing address

5405 Olvera Ave
San Diego, CA 92114-5315
Phone (619) 992-9769

Other names

  • Mrs. Colleen Ann Larreau Former name

Other providers in El Cajon, CA

All providers in El Cajon, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.