Individual
LETA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
620 HOWARD ST, THERAPEUTIC MASSAGE, DELTA, CO 81416-3629
(970) 874-3926
Mailing address
620 HOWARD ST, THERAPEUTIC MASSAGE, DELTA, CO 81416-3629
(970) 874-3926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5307
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906878
ABMP ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
CO
Enumeration date
04/15/2011
Last updated
04/15/2011
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