Individual
MRS. LISA MARIE MANIFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
12201 E ARAPAHOE RD, #B10, CENTENNIAL, CO 80112-6760
(720) 747-1500
Mailing address
12201 E ARAPAHOE RD, #B10, CENTENNIAL, CO 80112-6760
(720) 747-1500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013882
CO
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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