Doctor Name: | MS. COLLEEN MARGARET LAINE |
NPI Number: | 1790949436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT CNMT MAT SPECIAL |
License Number: | |
Business Practice Address: | 3501 S Corona St Suite #1 Englewood, CO - 801133907 |
Business Phone Number: | 3033204367 |
Business Fax Number: | 3037628822 |
Mailing Address: | 2700 Julian St, DENVER |
State: | CO |
Postal Code: | 802114025 |
Phone Number: | 3034773025 |
Fax Number: | 3037628822 |
NPI Enumeration Date: | 07/11/2008 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |