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MARY ELLEN (NMN) LAKE LMT CNMT NPI 1952513996


NPI Information

NPI: 1952513996
Provider Name: MARY ELLEN (NMN) LAKE, LMT, CNMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2020 W COLORADO AVE
SUITE 101
COLORADO SPRINGS, CO
ZIP 80904
Phone: (719) 660-1686
Get Directions

Mary Ellen (nmn) Lake, LMT, CNMT is a massage therapist in Colorado Springs, 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. Mary Ellen (nmn) Lake, LMT, CNMT NPI is 1952513996. 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:

2020 W COLORADO AVE
SUITE 101
COLORADO SPRINGS, CO
ZIP 80904-882
Phone: (719) 660-1686

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist709188COLORADOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.