Individual provider · Type 1 NPI

Robert McKenna, LMT

Massage Therapist · Boulder, CO

NPI number 1184130619 Active

Practice location

3450 Penrose Pl Ste 220
Boulder, CO 80301-1810

Mailing address

16500 Race St
Thornton, CO 80602-7640

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13299 (CO)

Massage Therapist: 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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About NPI 1184130619

Robert McKenna, LMT's National Provider Identifier is 1184130619, issued on Dec 20, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Dec 20, 2017.