Provider Demographics
NPI:1972627321
Name:BARRON, YVONNE T (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:T
Last Name:BARRON
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:MS
Other - First Name:BARRON
Other - Middle Name:T
Other - Last Name:BARRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BODYWORKER
Mailing Address - Street 1:311 1/2 PINE ST.
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503
Mailing Address - Country:US
Mailing Address - Phone:970-254-8567
Mailing Address - Fax:970-245-4370
Practice Address - Street 1:115 N 5TH ST
Practice Address - Street 2:SUITE #330
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2667
Practice Address - Country:US
Practice Address - Phone:970-245-4370
Practice Address - Fax:970-245-4370
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2257000000X175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath