Individual
MISS HALEY IRIS BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2121 S ONEIDA ST STE 420, DENVER, CO 80224-2575
(303) 241-4726
Mailing address
200 IDALIA CT APT 203, AURORA, CO 80011-9022
(303) 241-4726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022961
CO
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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