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Individual

MR. YATAKA D MAGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
9195 GRANT ST, SUITE 100, THORNTON, CO 80229-4385
(303) 451-7700
(303) 252-9474
Mailing address
720 S COLORADO BLVD, SUITE 200-A, DEPT 914, GLENDALE, CO 80246-1912
(303) 584-8000
(303) 584-8141

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
066615
MEDICARE GROUP NUMBER
CO
Enumeration date
10/14/2005
Last updated
02/11/2008
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