Organization
MOSAIC MEDICAL MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY JANE ENNIS ALBRIGHTON LMT (OWNER - CEO)
(307) 922-1477
Entity
Organization
Contact information
Practice address
5346 CHEROKEE RD, INDIAN HILLS, CO 80454-5033
(307) 922-1477
Mailing address
PO BOX 971, INDIAN HILLS, CO 80454-0971
(307) 922-1477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/15/2021
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