Individual
LISA M DE LA TORRE BACA LMT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6854 S DOVER WAY, LITTLETON, CO 80128-4054
(720) 308-7248
Mailing address
6854 S DOVER WAY, LITTLETON, CO 80128-4054
(720) 308-7248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0009555
CO
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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