# SOMA HEALING MASSAGE THERAPY, LLC

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

## Provider details

- **NPI number:** 1669852554
- **Authorized official:** ELIZABETH CARD RMT (SPORTS/ORTHOPEDIC MASSAGE THERAPIST)
- **Authorized official phone:** (720) 840-3650

## Contact information

- **Practice address:** 315 W SOUTH BOULDER RD, SUITE 209, LOUISVILLE, CO 80027-1156
- **Practice address phone:** (720) 840-3650
- **Mailing address:** 1892 MALLARD DR, SUPERIOR, CO 80027-4434
- **Mailing address phone:** (720) 840-3650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 10824 | CO | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015