Individual
GEORGIA LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
630 15TH AVE STE 102, LONGMONT, CO 80501-2764
(303) 651-2525
Mailing address
1446 LINCOLN CIR, LONGMONT, CO 80501-1883
(540) 931-1536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000974
VA
225700000X
Massage Therapist
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Other
Enumeration date
09/26/2012
Last updated
12/12/2019
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