Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ||
N | 225700000X | Massage Therapist | 8424 | CO |
NPI | 1144685421 |
---|---|
Provider Name | Megan E Dempsey |
First Address | Denver, CO 80210-3924 |
Second Address | Denver, CO 80210-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2015 |
Last Update Date | 08/03/2017 |