Individual
LORI ANN GANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT.0020842
Contact information
Practice address
1303 FORTINO BLVD STE C, PUEBLO, CO 81008-2032
(303) 910-8634
Mailing address
1933 CARTERET AVE, PUEBLO, CO 81004-3247
(303) 910-8634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024842
CO
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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