Kathleen Marie Willow, LMT is a
Massage Therapist based in Crestone, Colorado. Kathleen Marie Willow is licensed to practice in New Mexico (license number 2138) and her current practice location is
1798 Lone Pine Way, Crestone, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 256-5469.
NPI number for Kathleen Marie Willow is 1942445838 and her current mailing address is Po Box 772, Crestone, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942445838.
Healthcare Provider's Profile
Full Name | Kathleen Marie Willow |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1798 Lone Pine Way, Crestone, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942445838
- Provider Enumeration Date: 12/08/2008
- Last Update Date: 12/08/2008
Medical Identifiers
Medical identifiers for Kathleen Marie Willow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942445838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2138 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Marie Willow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Marie Willow, LMT Po Box 772, Crestone, CO 81131-0772 Ph: (719) 256-5469 | Kathleen Marie Willow, LMT 1798 Lone Pine Way, Crestone, CO 81131 Ph: (719) 256-5469 |
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