Individual provider · Type 1 NPI

Mimi M. Fountain, NCBTMB, RN

Massage Therapist · Durango, CO

NPI number 1306004965 Active

Practice location

1005 Waterfall Ln
Durango, CO 81301-3741

Call (970) 759-8872 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X441885-00 (IL)

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 1306004965

Mimi M. Fountain, NCBTMB, RN's National Provider Identifier is 1306004965, issued on May 29, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Durango, CO. The record was last updated on May 30, 2008.