Provider Demographics
NPI:1851140495
Name:MARKER, CAROLYN M (LMT)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:M
Last Name:MARKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 SHOSHONE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-4204
Mailing Address - Country:US
Mailing Address - Phone:720-971-7121
Mailing Address - Fax:
Practice Address - Street 1:7731 SHOSHONE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-4204
Practice Address - Country:US
Practice Address - Phone:720-971-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0004741225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist