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Mrs. Mimi M Fountain, NCBTMB,RN
Massage Therapist in Durango, Colorado
NPI 1306004965

Mimi M Fountain is a Massage Therapist based in Durango, CO. Mimi M Fountain practices in Durango, CO and has the professional credentials of NCBTMB,RN. The NPI Number for Mimi M Fountain is 1306004965 and holds a License No. 441885-00 (Colorado).

The current practice location address for Mimi M Fountain is 1005 Waterfall Ln, Durango, CO and can be reached out via phone at 970-759-8872.

Location: 1005 Waterfall Ln, Durango, CO, 81301-3741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306004965
Provider Name
Mimi M Fountain
Credential
NCBTMB,RN
Provider Entity Type
Individual
Gender
Female
Address
1005 Waterfall Ln, Durango, CO, 81301-3741
Phone Number
970-759-8872
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1005 Waterfall Ln
City
Durango
State
Colorado
Zip
81301-3741
Phone Number
970-759-8872
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Waterfall Ln
City
Durango
State
Colorado
Zip
81301-3741
Phone Number
970-759-8872
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
441885-00 (Illinois)
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.
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