Provider Demographics
NPI:1447555701
Name:YOUNG-LANGANKE, LAURA (RMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:YOUNG-LANGANKE
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 N COLUMBINE ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-1304
Mailing Address - Country:US
Mailing Address - Phone:303-278-3330
Mailing Address - Fax:
Practice Address - Street 1:507 N COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-1304
Practice Address - Country:US
Practice Address - Phone:303-278-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1871225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist