Provider Demographics
NPI:1174850945
Name:MARVIN, ROBIN JOANNE (CMT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:JOANNE
Last Name:MARVIN
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 1:12770 BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80603-7066
Mailing Address - Country:US
Mailing Address - Phone:303-654-1540
Mailing Address - Fax:
Practice Address - Street 1:12770 BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80603-7066
Practice Address - Country:US
Practice Address - Phone:303-654-1540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO196PS8173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO$$$$$$$$$OtherNPI NUMBER
CO$$$$$$$$$OtherNPI