Provider Demographics
NPI:1932410230
Name:MAUREAUX, SHAWN WESLEY (LMT)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:WESLEY
Last Name:MAUREAUX
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17388 NATURE WALK TRL
Mailing Address - Street 2:UNIT 205
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5262
Mailing Address - Country:US
Mailing Address - Phone:720-309-3910
Mailing Address - Fax:
Practice Address - Street 1:7400 E ARAPAHOE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1279
Practice Address - Country:US
Practice Address - Phone:303-224-9920
Practice Address - Fax:720-493-9566
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT8158225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist