Stacy Denoyer

Individual provider Active NPI Massage Therapist · Salida, CO

NPI 1801112313 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1801112313
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2466 (CO)
Practice address
207 1/2 F St
Salida, CO 81201-2130
Phone
(719) 221-0769
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2466 CO Yes

Addresses

Primary practice location

207 1/2 F St
Salida, CO 81201-2130

Mailing address

7021 County Road 107
Salida, CO 81201-3617

Other providers in Salida, CO

All providers in Salida, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.