Individual
KATHLEEN NOELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
7000 W 120TH AVE STE A, BROOMFIELD, CO 80020-2824
(303) 451-6706
Mailing address
13415 GROVE WAY, BROOMFIELD, CO 80020-5225
(720) 366-3469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1131
CO
Other
Enumeration date
03/28/2009
Last updated
05/30/2013
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