Individual
AMANDA JEAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8216 S HOLLY ST, CENTENNIAL, CO 80122-4012
(303) 221-1569
Mailing address
8216 S HOLLY ST, CENTENNIAL, CO 80122-4012
(303) 221-1569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10543
CO
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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