Provider Demographics
NPI:1639862279
Name:UJVARI, MAGDOLNA ILONA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:MAGDOLNA
Middle Name:ILONA
Last Name:UJVARI
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 1:415 MOUNTAIN VILLAGE BLVD UNIT 1244
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-9352
Mailing Address - Country:US
Mailing Address - Phone:970-275-7956
Mailing Address - Fax:
Practice Address - Street 1:135 HILLSIDE LN
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435-9108
Practice Address - Country:US
Practice Address - Phone:970-275-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0023212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist