Organization
TO THE ROOTS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLOW GENEVA ANN ROBERTS M.S. (MASSAGE THERAPIST)
(303) 838-7294
Entity
Organization
Contact information
Practice address
26291 MAIN ST, CONIFER, CO 80433-8500
(303) 838-0990
Mailing address
2759 HIDDEN VALLEY BLVD, PINE, CO 80470-7989
(303) 838-2794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0008026
CO
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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