Individual
GINA MARIE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12380 W 64TH AVE, ARVADA, CO 80004-4016
(303) 467-5337
Mailing address
2460 QUAIL CREEK DR, BROOMFIELD, CO 80023-6543
(720) 357-9291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/06/2023
Last updated
01/06/2023
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