Doctor Name: | TINA TONGEN |
NPI Number: | 1437402823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMT, AOS, CYT, NCTMB |
License Number: | 599389-10 |
Business Practice Address: | 3825 Iris Ave Suite 300 Boulder, CO - 803012003 |
Business Phone Number: | 7203987835 |
Business Fax Number: | |
Mailing Address: | 2995 Glenwood Dr, Apt 401 BOULDER |
State: | CO |
Postal Code: | 803011305 |
Phone Number: | 7203987835 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 10/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 599389-10 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |