Organization
INDIGO LOTUS, INC
Active
Other names
Different Strokes
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DHARMALYNNE DEBEAUX FULLER CMT (PRESIDENT)
(970) 207-9700
Entity
Organization
Contact information
Practice address
3307 S COLLEGE AVE, #102B, FORT COLLINS, CO 80525-4196
(970) 207-9700
Mailing address
3307 S COLLEGE AVE, #102B, FORT COLLINS, CO 80525-4196
(970) 207-9700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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