Individual
KIMBERLY LEE SENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 238-2893
Mailing address
373 S DOVER AVE, LAFAYETTE, CO 80026-1038
(720) 238-2893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014091
CO
Other
Enumeration date
09/15/2020
Last updated
10/01/2021
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