Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mimi M Fountain, NCBTMB, RN

Individual provider Massage Therapist · NPI 1306004965

Mrs. Mimi M Fountain, NCBTMB, RN is a Massage Therapist in Durango, Colorado. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1005 Waterfall Ln
Durango, CO 81301-3741
Phone: (970) 759-8872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 441885-00 (IL)

Record details

NPI number1306004965
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCBTMB , RN
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESMay 30, 2008

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