Individual
SELENA BARRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT.0020077
Contact information
Practice address
411 LAKEWOOD CIR STE B102, COLORADO SPRINGS, CO 80910-2670
(719) 593-0055
Mailing address
2040 FARRINGTON ST, COLORADO SPRINGS, CO 80916-2684
(719) 287-3403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020077
CO
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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