To the Roots Wellness

NPI #1306238928 in Conifer, Colorado

Provider Information

NPI Number: 1306238928
Entity Type: Organization
Organization Name: To the Roots Wellness
Primary Specialty: Massage Therapist
Enumeration Date: Feb 19, 2015
Last Updated: Feb 19, 2015

Practice Location

Address: 26291 MAIN ST
City: Conifer
State: Colorado
ZIP Code: 80433-8500
Phone: (303) 838-0990

Authorized Official

Name: WILLOW GENEVA ANN ROBERTS, M.S.
Title: MASSAGE THERAPIST
Phone: (303) 838-7294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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