| NPI | 1699159277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHA E VON KAENEL Co Owner 303-979-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 20151373659) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |