Individual
LEA ANNE REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 W. 120TH AVE UNIT A., BROOMFIELD, CO 80020
(303) 451-6706
(303) 451-6706
Mailing address
PO BOX 2073, BROOMFIELD, CO 80038-2073
(303) 451-6706
(303) 451-6706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0014768
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0014768
MASSAGE THERAPIST
CO
Enumeration date
08/01/2013
Last updated
08/01/2013
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