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Contact Information

MATTI BERMINGHAM, ATC, LAT, LMT
390 UNION BLVD
#650
LAKEWOOD, CO80228-1510
 Phone: 406-498-0483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Massage Therapist

225700000X
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MATTI BERMINGHAM · (Female)

NPI Number 1861930935
Status Active
Credentials ATC, LAT, LMT
Entity Individual
Enumeration date 02/08/2017
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # AT.0001355
  • CO License # MT.0017978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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