Guy Lynn Scarborough Jr., MASSAGE THERAPIST
Individual provider Active NPI Massage Therapist · Manitou Springs, CO
NPI 1831477009 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1831477009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 11789 (CO)
- Practice address
- 220 Via Linda Vis
Manitou Springs, CO 80829-2460 - Phone
- (719) 685-9587
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11789 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11789 | CO | Yes |
Addresses
Primary practice location
220 Via Linda Vis
Manitou Springs, CO 80829-2460
Mailing address
220 Via Linda Vis
Manitou Springs, CO 80829-2460
Phone (719) 685-9587
Other providers in Manitou Springs, CO
- Nicholas John Nunley
- Charla Phyllis Ogaz
- Dayne Quello
- Roxanne Upshaw, Inc.
- Sacred Fields Healing
- Serenity Springs Consulting, LLC
- Gregory Evan Sharp
- Richard Carroll Sinclair
- Denise Mary Spangler
- Janet Marie Starr
All providers in Manitou Springs, 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 Jul 21, 2011. 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.