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Individual

SHANA R STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
9131 APACHE RD, LONGMONT, CO 80504-5440
(303) 587-7740
Mailing address
9131 APACHE RD, LONGMONT, CO 80504-5440
(303) 587-7740

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0020033
CO

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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