Provider Demographics
NPI:1952558637
Name:LOVELL, MAUREEN MEGAN (CMT)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:MEGAN
Last Name:LOVELL
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10473 URSULA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9494
Mailing Address - Country:US
Mailing Address - Phone:303-888-9515
Mailing Address - Fax:
Practice Address - Street 1:10050 RALSTON RD
Practice Address - Street 2:SUITE E
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4974
Practice Address - Country:US
Practice Address - Phone:303-888-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist