Individual
LYLA KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/MMP
Contact information
Practice address
601 S PARK ST, WOODLAND PARK, CO 80863-1129
(719) 459-4523
Mailing address
601 S PARK ST, WOODLAND PARK, CO 80863-1129
(719) 459-4523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5295
CO
Other
Enumeration date
06/25/2015
Last updated
08/31/2015
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