Provider Demographics
NPI:1447597521
Name:HINOJOSA, ARNOLD MOISES (LMT)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:MOISES
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 YATES ST APT 104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1064
Mailing Address - Country:US
Mailing Address - Phone:773-426-3462
Mailing Address - Fax:
Practice Address - Street 1:1525 YATES ST APT 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1064
Practice Address - Country:US
Practice Address - Phone:773-426-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022440225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist