Individual provider · Type 1 NPI
Diana Marie Prado Carrillo, LMT
Massage Therapist · Longmont, CO
NPI number
1861872335
Active
Practice location
525 15th Ave Lot 26
Longmont, CO 80501-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.0017321 (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 1861872335
Diana Marie Prado Carrillo, LMT's National Provider Identifier is 1861872335, issued on May 31, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longmont, CO. The record was last updated on May 31, 2015.