Individual
THERESA CASARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.M.T.
Contact information
Practice address
2095 W 6TH AVE, SUITE 103, BROOMFIELD, CO 80020-1870
(720) 484-4926
Mailing address
2095 W 6TH AVE, SUITE 103, BROOMFIELD, CO 80020-1870
(720) 484-4926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015158
CO
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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