Individual
TANYA LYNAE HIRCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6340 YANK CT UNIT A, ARVADA, CO 80004-3884
(720) 301-1395
Mailing address
6340 YANK CT UNIT A, ARVADA, CO 80004-3884
(720) 301-1395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0001727
CO
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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