Organization
ELEVATED TEMPLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAM'PEL CARROLL LMT (OWNER)
(719) 517-6433
Entity
Organization
Contact information
Practice address
13368 ASH CIR, THORNTON, CO 80241-1517
(719) 517-6433
Mailing address
13368 ASH CIR, THORNTON, CO 80241-1517
(719) 517-6433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
09/01/2023
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