Individual
LINDA S NEWMAN
Active
Individual
LINDA S NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT, NMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11181
PUEBLOMASSAGETHERAPISTLA
CO
01
—
11572957
CAQH PROVIDER NUMBER
—
01
—
293849600
OFFICE OF WORKERS COMPENSATION PROGRAMS DEPARTMENT OF LABOR PROVIDER NUMBER
—
01
—
32
PUEBLOMASSAGEISTLICENCE
CO
01
—
9016
AMTA MEMBERSHIP
CO
Enumeration date
11/20/2006
Last updated
04/08/2011
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