Individual
AMANDA ROVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 TABLE MESA DR STE 203, BOULDER, CO 80305-5850
(303) 499-9892
Mailing address
3400 TABLE MESA DR STE 203, BOULDER, CO 80305-5850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9040
CO
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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