Doctor Name: | INANNA ALLYSON HALL |
NPI Number: | 1255651154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 1701 |
Business Practice Address: | 118 South Ridge Rd. #2 Breckenridge, CO - 804243084 |
Business Phone Number: | 9704853344 |
Business Fax Number: | 9704531871 |
Mailing Address: | Po Box 3084, 118 S. Ridge Rd. #2 BRECKENRIDGE |
State: | CO |
Postal Code: | 804243084 |
Phone Number: | 9704853344 |
Fax Number: | 9704531871 |
NPI Enumeration Date: | 06/03/2010 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1701 |
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. |