MRS. MIMI M FOUNTAIN NCBTMB, RN
NPI 1306004965
Massage Therapist in Durango, CO

Q: What is Mimi Fountain's NPI number?

The NPI number for Mimi Fountain is 1306004965. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Mimi Fountain's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Fountain was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2008

1005 WATERFALL LN, DURANGO, CO 81301(970) 759-8872 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mimi M Fountain Ncbtmb, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIMI M FOUNTAIN NCBTMB, RN (NPI 1306004965) is an individual massage therapist in Durango, Colorado, licensed in Illinois (441885-00) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1306004965

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. MIMI M FOUNTAINCredential: NCBTMB, RN

Location Address1005 WATERFALL LNDurango, CO 81301-3741

Mailing Address1005 Waterfall LnDurango, CO 81301-3741 · (970) 759-8872

Phone(970) 759-8872

Sole ProprietorYes

Enumeration DateMay 29, 2008

Last NPPES UpdateMay 30, 2008

✔ NPI 1306004965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in IL · 441885-00

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

1005 WATERFALL LN, Durango, CO 81301

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Fountain's NPI number?

The NPI number for Mimi Fountain is 1306004965. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Mimi Fountain located?

Mimi Fountain practices at 1005 Waterfall Ln, Durango, CO 81301. The listed phone number is (970) 759-8872.

What is Mimi Fountain's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mimi Fountain was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.