Individual
ANDREA DANETTE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT LMT
Contact information
Practice address
4304 KIPLING ST, B, WHEAT RIDGE, CO 80033-6818
(303) 906-0875
Mailing address
11860 W 32ND AVE, WHEAT RIDGE, CO 80033-6507
(303) 906-0875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13183
CO
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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