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Organization
OTG WELLNESS SPA
Active
Organization
OTG WELLNESS SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHANNA MADISON (OWNER)
(303) 369-1979
Entity
Organization
Contact information
Practice address
2121 S ONEIDA ST STE 150, DENVER, CO 80224-2500
(303) 369-1979
Mailing address
2121 S ONEIDA ST STE 150, DENVER, CO 80224-2500
(303) 369-1979
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/15/2026
Last updated
09/15/2026
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