Individual
DANAE BEAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6725 W 55TH AVE, ARVADA, CO 80002-3803
(720) 309-8703
Mailing address
6725 W 55TH AVE, ARVADA, CO 80002-3803
(720) 309-8703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-001303
CO
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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