Individual
KARISSA H. REQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
6508 S ACOMA ST, LITTLETON, CO 80120-3413
(720) 339-1724
(303) 932-1363
Mailing address
8357 N RAMPART RANGE RD, SUITE #A205, LITTLETON, CO 80125-9365
(720) 339-1724
(303) 932-1363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3800
CO
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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