Doctor Name: | MISS MARIN NICOLE LAMARTINA |
NPI Number: | 1255695714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.T. |
License Number: | 5892 |
Business Practice Address: | 1450 Crystal Lake Rd Aspen, CO - 816112255 |
Business Phone Number: | 9709258900 |
Business Fax Number: | |
Mailing Address: | 5575 Bantry Ln Apt 2, FITCHBURG |
State: | WI |
Postal Code: | 537115886 |
Phone Number: | 6083356246 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2012 |
NPI Last Update Date: | 06/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5892 |
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. |