Tamara Bifano, LMT

Individual provider Active NPI Massage Therapist · Gunnison, CO

NPI 1831782713 · NPPES record last updated Feb 11, 2021

Key facts

NPI
1831782713
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT0023867 (CO)
Practice address
711 N Taylor St
Gunnison, CO 81230-2208
Phone
(970) 648-7103
Fax
(970) 642-4819
NPI assigned
Feb 11, 2021
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

State licenses

LicenseStateTypeSpecialty
MT0023867COMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0023867 CO Yes

Addresses

Primary practice location

711 N Taylor St
Gunnison, CO 81230-2208

Mailing address

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 648-7103

Other providers in Gunnison, CO

All providers in Gunnison, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.