Doctor Name: | IGNACIO MADRIGAL VEGA |
NPI Number: | 1700117611 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9195 |
Business Practice Address: | 8200 S Quebec St Ste A6 Centennial, CO - 801123194 |
Business Phone Number: | 3037706440 |
Business Fax Number: | 3037706439 |
Mailing Address: | 8200 S Quebec St Ste A6, CENTENNIAL |
State: | CO |
Postal Code: | 801123194 |
Phone Number: | 3037706440 |
Fax Number: | 3037706439 |
NPI Enumeration Date: | 01/18/2010 |
NPI Last Update Date: | 01/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 9195 |
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. |