Lasea Wilkins-Branson, LMT

NPI #1306382429 in Evans, Colorado

Provider Information

NPI Number: 1306382429
Entity Type: Individual
Name: Lasea Wilkins-Branson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 12, 2017
Last Updated: Apr 27, 2017

Practice Location

Address: 2615 SHOOTING STAR WAY
City: Evans
State: Colorado
ZIP Code: 80620-9244
Phone: (970) 599-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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