Individual
MISS RAE MARIE MINEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNHP, CHS, ND
Contact information
Practice address
1075 S YUKON ST STE 340, LAKEWOOD, CO 80226-4333
(720) 878-3773
Mailing address
1075 S YUKON ST STE 340, LAKEWOOD, CO 80226-4333
(720) 878-3773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0006709
CO
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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