Provider Demographics
NPI:1942503768
Name:MARQUEZ, VANESSA E (LMT)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:E
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8770 E ARAPAHOE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1422
Mailing Address - Country:US
Mailing Address - Phone:720-998-3827
Mailing Address - Fax:
Practice Address - Street 1:8770 E ARAPAHOE RD STE 107
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1422
Practice Address - Country:US
Practice Address - Phone:720-998-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-4893225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist