Individual
NADEZHDA BANAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12001 TEJON ST, #122, WESTMINSTER, CO 80234-2310
(303) 464-0110
Mailing address
11727 FENTON ST, WESTMINSTER, CO 80020-5970
(720) 341-7998
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT0008422
CO
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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