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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MIMI M FOUNTAIN, NCBTMB, RN

Active Sole Proprietor

MRS. MIMI M FOUNTAIN, NCBTMB, RN is a Massage Therapist healthcare provider located in DURANGO, Colorado. NPI 1306004965 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · DURANGO, CO

Registration Details

NPI Number
1306004965
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2008 (18.202035539396 yrs)
Last Updated
May 30, 2008
License
441885-00 (IL)
Sole Proprietor
Yes

Practice Information

Address
1005 WATERFALL LN
DURANGO, CO, 813013741
Browse CO providers · Browse ZIP 81301
Phone
9707598872
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in DURANGO, CO

Name Credential NPI
MS. DEIDREE GAIL PALMER CNMT 1225194897
DAVID WILLIAM DOLAN L.M.T.-MASSAGE THERA 1205950292
JENNIFER BERRIDGE LMT, NCMT 1033236856
ROBERTA JEAN EICKMAN CMT 1437367216
MRS. AMANDA R. KUCHARSKI SMITH L.M.T., C.N.M.T. 1366631103
MARK HAMILTON LITTLE C.M.T., NCTMB 1831378892
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.