Individual
KAYLA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1575 S DECATUR ST, DENVER, CO 80219-4735
(970) 749-8128
Mailing address
2092 S YANK WAY, LAKEWOOD, CO 80228-4311
(303) 253-2223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0021442
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O804464
—
CO
Enumeration date
06/06/2022
Last updated
06/06/2022
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