Doctor Name: | MR. GEORGE ANTHONY PENA |
NPI Number: | 1770818296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.M.T. |
License Number: | 4899 |
Business Practice Address: | 333 W Hampden Ave Suite 420e Englewood, CO - 801102330 |
Business Phone Number: | 3039312133 |
Business Fax Number: | 3037811022 |
Mailing Address: | 333 W Hampden Ave Ste 420e, Suite 204 ENGLEWOOD |
State: | CO |
Postal Code: | 801102334 |
Phone Number: | 3039312133 |
Fax Number: | 3037811022 |
NPI Enumeration Date: | 10/16/2009 |
NPI Last Update Date: | 07/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4899 |
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. |