Individual
SERENA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
1000 N 9TH ST STE 7, GRAND JUNCTION, CO 81501-3107
(970) 254-1352
(970) 254-1352
Mailing address
1261 CHIPETA AVE, GRAND JUNCTION, CO 81501-4435
(970) 254-1352
(970) 254-1352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
558
CO
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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