Individual
AUDRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMMP
Contact information
Practice address
11325 COLORADO BLVD, THORNTON, CO 80233-2601
(303) 457-2022
Mailing address
16033 E 96TH WAY, COMMERCE CITY, CO 80022-9100
(303) 919-4104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
799
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799
DORA: LICENSED MASSAGE THERAPIST
CO
Enumeration date
10/10/2016
Last updated
10/10/2016
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