Individual
SORIAH V BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LMT
Contact information
Practice address
3570 E 12TH AVE STE 100, DENVER, CO 80206-3431
(720) 996-0697
Mailing address
3570 E 12TH AVE STE 100, DENVER, CO 80206-3431
(720) 996-0697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024885
CO
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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