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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13299 (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.