Individual
TARA LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 HURON ST APT 4-103, THORNTON, CO 80260-4340
(303) 968-6888
Mailing address
8701 HURON ST APT 4-103, THORNTON, CO 80260-4340
(303) 968-6888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0005915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0005915
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
03/29/2018
Last updated
03/29/2018
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