Organization
ADVANCED THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE ROISUM (MASSAGE THERAPIST)
(720) 335-1118
Entity
Organization
Contact information
Practice address
1701 KIPLING ST STE 105, LAKEWOOD, CO 80215-2848
(720) 335-1118
(303) 238-5553
Mailing address
1701 KIPLING ST STE 105, LAKEWOOD, CO 80215-2848
(720) 335-1118
(303) 238-5553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4244
CO
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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