Organization
MOUNTAIN SAGE MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI RENEA VIGIL CMT (CERTIFIED MASSAGE THERAPIST)
(970) 445-8137
Entity
Organization
Contact information
Practice address
7019 S KNOLLS WAY, CENTENNIAL, CO 80122-1732
(970) 445-8137
Mailing address
7019 S KNOLLS WAY, CENTENNIAL, CO 80122-1732
(970) 445-8137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0012925
CO
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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