Doctor Name: | MR. JOSHUA MANNING MARABLE |
NPI Number: | 1255568606 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NCTMB |
License Number: | |
Business Practice Address: | 1209 Pearl Street Suite 11 Boulder, CO - 803025267 |
Business Phone Number: | 3039064723 |
Business Fax Number: | 3034941187 |
Mailing Address: | 4190 Eutaw Drive, BOULDER |
State: | CO |
Postal Code: | 803033625 |
Phone Number: | 3039064723 |
Fax Number: | 3034941187 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |