Individual
THOMAS ANTHONY GROENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
1479 N MOONBEAM DR, PUEBLO WEST, CO 81007-1247
(719) 250-4887
Mailing address
1479 N MOONBEAM DR, PUEBLO WEST, CO 81007-1247
(719) 250-4887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0024320
CO
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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