Provider Demographics
NPI:1447249271
Name:MAGEE, YATAKA D (CMT)
Entity type:Individual
Prefix:MR
First Name:YATAKA
Middle Name:D
Last Name:MAGEE
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
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Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:SUITE 200-A, DEPT 914
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-584-8000
Mailing Address - Fax:303-584-8141
Practice Address - Street 1:9195 GRANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4385
Practice Address - Country:US
Practice Address - Phone:303-451-7700
Practice Address - Fax:303-252-9474
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2008-02-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO066615OtherMEDICARE GROUP NUMBER