Provider Demographics
NPI:1073328464
Name:BERSON, MAX AARON (LMT)
Entity type:Individual
Prefix:MR
First Name:MAX
Middle Name:AARON
Last Name:BERSON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 S POPLAR ST APT H301
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2888
Mailing Address - Country:US
Mailing Address - Phone:424-242-8356
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 1100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2732
Practice Address - Country:US
Practice Address - Phone:720-817-0656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0020168225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist