ROBERT MCKENNA LMT NPI 1184130619

NPI Information

NPI: 1184130619
Provider Name: ROBERT MCKENNA, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3450 PENROSE PL STE 220
BOULDER, CO
ZIP 80301
Phone: (720) 840-1385
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Robert Mckenna, LMT is a massage therapist in Boulder, 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. Robert Mckenna, LMT NPI is 1184130619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3450 PENROSE PL STE 220
BOULDER, CO
ZIP 80301-810
Phone: (720) 840-1385

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.

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		13299	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: 11/14/2023

NPI Synchronization or Removal

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