Individual
ELYSE R MEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(303) 519-3297
Mailing address
4575 RABBIT MOUNTAIN RD, BROOMFIELD, CO 80020-8103
(303) 519-3297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020111.MT
CO
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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