Doctor Name: | REBECCA MAULDIN |
NPI Number: | 1053633958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMT |
License Number: | 992 |
Business Practice Address: | 1 Mercado St Ste 150 Durango, CO - 813017306 |
Business Phone Number: | 9703752273 |
Business Fax Number: | 9703752207 |
Mailing Address: | 137 E 10th St, DURANGO |
State: | CO |
Postal Code: | 813015114 |
Phone Number: | 9703855142 |
Fax Number: | 9702472080 |
NPI Enumeration Date: | 02/18/2010 |
NPI Last Update Date: | 02/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |