Doctor Name: | CHRISTOPHER COPPEDGE |
NPI Number: | 1922420389 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T. |
License Number: | MT.0014398 |
Business Practice Address: | 4045 Wadsworth Blvd Suite 270 Wheat Ridge, CO - 800334642 |
Business Phone Number: | 3034822588 |
Business Fax Number: | |
Mailing Address: | 4045 Wadsworth Blvd, Suite 270 WHEAT RIDGE |
State: | CO |
Postal Code: | 800334642 |
Phone Number: | 3034822588 |
Fax Number: | 7203896499 |
NPI Enumeration Date: | 01/20/2014 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT.0014398 |
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. |