Individual
MS. MICHELE THEOHARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5400 WARD RD BLDG 2, ARVADA, CO 80002-1819
(303) 641-1735
Mailing address
13813 W 68TH AVE, ARVADA, CO 80004-2038
(303) 641-1735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2999
CO
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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