Individual
CATHRINE MANNINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7700 E ARAPAHOE RD STE 250, CENTENNIAL, CO 80112-6108
(720) 489-6040
Mailing address
2338 LA MESA DR, BOULDER, CO 80303-9626
(630) 842-0631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0016313
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0016313
DORA-COLORADO
CO
Enumeration date
07/10/2017
Last updated
07/10/2017
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