Organization
THERAPEUTIC MASSAGE FROM TETYANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETYANA GNATYUK (MASSAGE THERAPIST)
(720) 366-1661
Entity
Organization
Contact information
Practice address
12919 STROH RANCH CT UNIT B, PARKER, CO 80134-7707
(720) 366-1661
Mailing address
19630 CLUBHOUSE DR APT 232, PARKER, CO 80138-6201
(720) 366-1661
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MT.0014452
CO
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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