Individual
AUTUMN FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 CARR ST, LAKEWOOD, CO 80214-5985
(800) 766-4255
Mailing address
6780 W 19TH PL APT 204, LAKEWOOD, CO 80214-1475
(901) 237-2304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0016231
CO
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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