Provider Demographics
NPI:1255568606
Name:MARABLE, JOSHUA MANNING (NCTMB)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:MANNING
Last Name:MARABLE
Suffix:
Gender:M
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4190 EUTAW DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-3625
Mailing Address - Country:US
Mailing Address - Phone:303-906-4723
Mailing Address - Fax:303-494-1187
Practice Address - Street 1:1209 PEARL STREET
Practice Address - Street 2:SUITE 11
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5267
Practice Address - Country:US
Practice Address - Phone:303-906-4723
Practice Address - Fax:303-494-1187
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist