Individual
LACY KREACHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1662 S DEFRAME ST UNIT B8, LAKEWOOD, CO 80228-6018
(720) 425-8615
Mailing address
1662 S DEFRAME ST UNIT B8, LAKEWOOD, CO 80228-6018
(720) 425-8615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0016520
CO
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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