Provider Demographics
NPI:1730366725
Name:BROWN, MARCIE (CMT)
Entity type:Individual
Prefix:
First Name:MARCIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5222 SCRANTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5839
Mailing Address - Country:US
Mailing Address - Phone:720-436-1960
Mailing Address - Fax:720-436-1960
Practice Address - Street 1:5222 SCRANTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-5839
Practice Address - Country:US
Practice Address - Phone:720-436-1960
Practice Address - Fax:720-436-1960
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2829225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist