Individual
MRS. SHANTEL RENEE VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
137 W HAWTHORNE ST, MILLIKEN, CO 80543-9457
(720) 466-3835
Mailing address
137 W HAWTHORNE ST, MILLIKEN, CO 80543-9457
(720) 466-3835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0009800
CO
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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