Greg Davenport, is a
Massage Therapist based in Mead, Colorado. Greg Davenport is licensed to practice in Colorado (license number MT.0025357) and his current practice location is
4119 Marble Dr, Mead, Colorado. He can be reached at his office (for appointments etc.) via phone at
(760) 274-4105.
NPI number for Greg Davenport is 1881450849 and his current mailing address is 4119 Marble Dr, Mead, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881450849.
Healthcare Provider's Profile
| Full Name | Greg Davenport |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 4119 Marble Dr, Mead, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881450849
- Provider Enumeration Date: 02/26/2024
- Last Update Date: 02/26/2024
Medical Identifiers
Medical identifiers for Greg Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881450849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT.0025357 (Colorado) | 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. Greg Davenport 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 |
|---|
Greg Davenport,
4119 Marble Dr,
Mead, CO 80504-5387
Ph: (760) 274-4105 | Greg Davenport,
4119 Marble Dr,
Mead, CO 80504-5387
Ph: (760) 274-4105 |
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