Provider Demographics
NPI:1831320613
Name:MCGUIGAN, PATRICIA M (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:MCGUIGAN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9142 W KEN CARYL AVE
Mailing Address - Street 2:UNIT D2
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5252
Mailing Address - Country:US
Mailing Address - Phone:303-933-6153
Mailing Address - Fax:303-933-9431
Practice Address - Street 1:9142 W KEN CARYL AVE
Practice Address - Street 2:UNIT D2
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5252
Practice Address - Country:US
Practice Address - Phone:303-933-6153
Practice Address - Fax:303-933-9431
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist