Individual
MERYL ELIZABETH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1320 SIMMS ST, LAKEWOOD, CO 80401-4478
(720) 404-6467
Mailing address
6465 W 38TH AVE APT 103, WHEAT RIDGE, CO 80033-4971
(720) 404-6467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019335
CO
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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