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Mary Ellen (nmn) Lake, LMT,CNMT
Massage Therapist in Colorado Springs, Colorado
NPI 1952513996

Mary Ellen (nmn) Lake is a Massage Therapist based in Colorado Springs, CO. Mary Ellen (nmn) Lake practices in Colorado Springs, CO and has the professional credentials of LMT,CNMT. The NPI Number for Mary Ellen (nmn) Lake is 1952513996 and holds a License No. 709188 (Colorado).

The current practice location address for Mary Ellen (nmn) Lake is 2020 W Colorado Ave, Colorado Springs, CO and can be reached out via phone at 719-660-1686. You can also correspond with Mary Ellen (nmn) Lake through the mailing address at 656 GLEN EYRIE CIR, COLORADO SPRINGS, CO - 80904-2139 (mailing address contact number: 719-578-3012).

Location: 2020 W Colorado Ave, Colorado Springs, CO, 80904-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952513996
Provider Name
Mary Ellen (nmn) Lake
Credential
LMT,CNMT
Provider Entity Type
Individual
Gender
Female
Address
2020 W Colorado Ave, Colorado Springs, CO, 80904-2139
Phone Number
719-660-1686
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 W Colorado Ave
City
Colorado Springs
State
Colorado
Zip
80904-3882
Phone Number
719-660-1686
Fax Number
person
Provider Business Mailing Address Details
Address
656 Glen Eyrie Cir
City
Colorado Springs
State
Colorado
Zip
80904-2139
Phone Number
719-578-3012
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
709188 (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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