Advanced Therapeutic Massage

NPI #1851664213 in Lakewood, Colorado

Provider Information

NPI Number: 1851664213
Entity Type: Organization
Organization Name: Advanced Therapeutic Massage
Primary Specialty: Massage Therapist
Enumeration Date: Feb 15, 2012
Last Updated: Feb 15, 2012

Practice Location

Address: 1701 KIPLING ST STE 105
City: Lakewood
State: Colorado
ZIP Code: 80215-2848
Phone: (720) 335-1118

Authorized Official

Name: MRS. CANDACE ROISUM
Title: MASSAGE THERAPIST
Phone: (720) 335-1118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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