NPI 1093058281

Nadezhda Banaga, LMT

Practitioner Mechanotherapist Westminster, CO

Practice location

Address: 12001 Tejon St #122, Westminster, CO 80234-2310
Phone: (303) 464-0110
Mailing address: 11727 Fenton St, Westminster, CO 80020-5970

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT0008422 (CO)

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Registry record

NPI: 1093058281
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2013
Record last updated: 5 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.