Individual
LARA K. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
600 S AIRPORT RD, LONGMONT, CO 80503-6424
(303) 587-8998
Mailing address
3720 STAGHORN DR, LONGMONT, CO 80503-7594
(303) 587-8998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0001720
CO
Other
Enumeration date
05/10/2007
Last updated
06/16/2023
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