| NPI | 1407107360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L GOYMERAC Owner/Massage Therapist 970-290-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 664) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2017-09-15 |