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Dierdre Mangan I, LAC
Massage Therapist in Lakewood, Colorado
NPI 1952027575

Dierdre Mangan I is a Massage Therapist based in Lakewood, CO. Dierdre Mangan I practices in Lakewood, CO and has the professional credentials of LAC. The NPI Number for Dierdre Mangan I is 1952027575 and holds a License No. 2667 (Colorado).

The current practice location address for Dierdre Mangan I is 2201 Kipling St, Lakewood, CO and can be reached out via phone at 720-998-4108.

Location: 2201 Kipling St, Lakewood, CO, 80215-1334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952027575
Provider Name
Dierdre Mangan I
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
2201 Kipling St, Lakewood, CO, 80215-1334
Phone Number
720-998-4108
Fax Number
Provider Enumeration Date
10/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011644 01 CO MASSAGE LICENSE
846955 01 CO ACUPUNCTURE LICENSE
institution
Provider Business Practice Location Address Details
Address
2201 Kipling St
City
Lakewood
State
Colorado
Zip
80215-1580
Phone Number
720-998-4108
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Kipling St
City
Lakewood
State
Colorado
Zip
80215-1580
Phone Number
720-998-4108
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
0011644 (Colorado)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2667 (Colorado)
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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