| NPI | 1235687344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J FERGUSON Director 303-306-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0017166) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |