LYDIA M. PROVOST C.M.T. NPI 1568772143

NPI Information

NPI: 1568772143
Provider Name: LYDIA M. PROVOST, C.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2226 SOUTH FRASER STREET,
UNIT 5
AURORA, CO
ZIP 80014
Phone: (303) 695-1609
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Lydia M. Provost, C.M.T. is a massage therapist in Aurora, CO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Lydia M. Provost, C.M.T. NPI is 1568772143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2226 SOUTH FRASER STREET,
UNIT 5
AURORA, CO
ZIP 80014-534
Phone: (303) 695-1609
Fax: (303) 695-0382

The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		9091, MT	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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