Organization
KAILO ACUPUNCTURE AND MASSAGE, INCORPORATED
Active
Organization
KAILO ACUPUNCTURE AND MASSAGE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA THALIA LEFCOURT (PRESIDENT)
(720) 612-7429
Entity
Organization
Contact information
Practice address
2095 W 6TH AVE, SUITE 115, BROOMFIELD, CO 80020-1870
(720) 612-7429
Mailing address
2095 W 6TH AVE, SUITE 115, BROOMFIELD, CO 80020-1870
(720) 612-7429
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACU.0000887
CO
225700000X
Massage Therapist
MT.0001214
CO
225700000X
Massage Therapist
Primary
MT.0004934
CO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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