Individual
LAURA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 TABLE MESA DR, SUITE B, BOULDER, CO 80305-4503
(303) 499-9892
Mailing address
4710 TABLE MESA DRIVE, SUITE B, BOULDER, CO 80305
(303) 499-9892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017141
CO
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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