Individual
TINA TONGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT, AOS, CYT, NCTMB
Contact information
Practice address
3825 IRIS AVE, SUITE 300, BOULDER, CO 80301-2003
(720) 398-7835
Mailing address
2995 GLENWOOD DR, APT 401, BOULDER, CO 80301-1305
(720) 398-7835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
599389-10
CO
225700000X
Massage Therapist
Primary
MT11470
CO
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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