| NPI | 1730549171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO mt.0006567) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO pta.0013202) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-02-27 |