Doctor Name: | MARYANN L GILLHAM |
NPI Number: | 1275769267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | 2846 |
Business Practice Address: | 9955 W 20th Ave Lakewood, CO - 802151529 |
Business Phone Number: | 3032020118 |
Business Fax Number: | |
Mailing Address: | 9955 W 20th Ave, LAKEWOOD |
State: | CO |
Postal Code: | 802151529 |
Phone Number: | 3032020118 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2846 |
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. |