Individual
MS. MANDY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT # 5693
Contact information
Practice address
8906 W BOWLES AVE, SUITE #110, LITTLETON, CO 80123-8606
(720) 345-8008
Mailing address
PO BOX 200624, DENVER, CO 80220
(720) 345-8008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0005693
CO
Other
Enumeration date
12/01/2015
Last updated
10/07/2016
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