Provider Demographics
NPI:1942649512
Name:COUNTS, JOHN DYLAN (CMT, LMT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DYLAN
Last Name:COUNTS
Suffix:
Gender:M
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6644 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3908
Mailing Address - Country:US
Mailing Address - Phone:720-903-6076
Mailing Address - Fax:
Practice Address - Street 1:6644 WADSWORTH BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3908
Practice Address - Country:US
Practice Address - Phone:720-903-6076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8339225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist