Provider Demographics
NPI:1609532290
Name:CANO, CLAUDIA DENISE (LMBT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DENISE
Last Name:CANO
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SPRINGSIDE RD APT D6
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3476
Mailing Address - Country:US
Mailing Address - Phone:310-210-2494
Mailing Address - Fax:
Practice Address - Street 1:132 SPRINGSIDE RD APT D6
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3476
Practice Address - Country:US
Practice Address - Phone:310-210-2494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14407225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist