Evergreen Therapeutic Massage LLC

NPI #1912582230 in Evergreen, Colorado

Provider Information

NPI Number
1912582230
Entity Type
Organization
Organization Name
Evergreen Therapeutic Massage LLC
Primary Specialty
Massage Therapist
Enumeration Date
Mar 17, 2021
Last Updated
Mar 17, 2021

Practice Location

Address
1240 BERGEN PKWY STE A230-11
ZIP Code
80439-9524
Phone
(720) 471-3043

Authorized Official

Name
VERONIQUE HQ FOX, BS, LMT, BCTMB
Title
PST
Phone
(720) 471-3043

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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