Doctor Name: | JOSE ALBERTO |
NPI Number: | 1063647220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RMT, NMT, RM |
License Number: | 2693 |
Business Practice Address: | 2760 N Academy Blvd #135 Colorado Springs, CO - 809175324 |
Business Phone Number: | 7194440708 |
Business Fax Number: | |
Mailing Address: | 2760 N Academy Blvd, #135 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809175324 |
Phone Number: | 7194440708 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2693 |
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. |