| NPI | 1871913772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA TEILE Practicing Owner 720-306-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT-0015642) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: CO MT-0015642) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-20 |