Individual
CHAMPEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13368 ASH CIR, THORNTON, CO 80241-1517
(719) 664-7705
Mailing address
13368 ASH CIR, THORNTON, CO 80241-1517
(719) 664-7705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024562
CO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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