Organization
MINDFUL MASSAGE AND BODYWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ELIZABETH PETTY (LMT/OWNER)
(970) 213-8340
Entity
Organization
Contact information
Practice address
1919 65TH AVE, SUITE 3, GREELEY, CO 80634-7965
(970) 213-8340
Mailing address
1919 65TH AVE, SUITE 3, GREELEY, CO 80634-7965
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MT.0011246
CO
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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