# OTG WELLNESS SPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396656633
- **Authorized official:** LATASHANNA MADISON (OWNER)
- **Authorized official phone:** (303) 369-1979

## Contact information

- **Practice address:** 2121 S ONEIDA ST STE 150, DENVER, CO 80224-2500
- **Practice address phone:** (303) 369-1979
- **Mailing address:** 2121 S ONEIDA ST STE 150, DENVER, CO 80224-2500
- **Mailing address phone:** (303) 369-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2026
- **Last updated:** 09/15/2026