Individual
TINA J LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14901 E HAMPDEN AVE, SUITE 390, AURORA, CO 80014-5065
(303) 369-6038
Mailing address
18913 E OREGON DR, AURORA, CO 80017-5409
(303) 369-6038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0012440
CO
Other
Enumeration date
05/05/2014
Last updated
05/06/2014
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