| NPI | 1992211726 |
|---|---|
| Former Legal Business Name | HEALTHY LIVING MASSAGE, LLC |
| Entity Type | Organization |
| Authorized Contact | LINDSEY MOURN-DISPOTO Owner 719-314-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0009729) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-07-01 |