Provider Demographics
NPI:1619294584
Name:ARAYA, MLETE
Entity Type:Individual
Prefix:
First Name:MLETE
Middle Name:
Last Name:ARAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MLETE
Other - Middle Name:
Other - Last Name:TEKLAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1367 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3453
Mailing Address - Country:US
Mailing Address - Phone:303-339-3100
Mailing Address - Fax:303-339-3101
Practice Address - Street 1:1367 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3453
Practice Address - Country:US
Practice Address - Phone:303-339-3100
Practice Address - Fax:303-339-3101
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8162225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist