Individual
GRACE LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3009 MADISON AVE APT M109, BOULDER, CO 80303-2031
(612) 804-3717
Mailing address
3009 MADISON AVE APT M109, BOULDER, CO 80303-2031
(612) 804-3717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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