Organization
BODYWORK THERAPIES LLC
Active
Organization
BODYWORK THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARA TEILE CNMT, RMT, MLD (PRACTICING OWNER)
(720) 306-9151
Entity
Organization
Contact information
Practice address
6535 S DAYTON ST, SUITE 2820, GREENWOOD VILLAGE, CO 80111-6125
(720) 306-9151
Mailing address
6535 S DAYTON ST, SUITE 2820, GREENWOOD VILLAGE, CO 80111-6125
(720) 306-9151
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT-0015642
CO
225700000X
Massage Therapist
Primary
MT-0015642
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-0015642
DORA
CO
Enumeration date
04/18/2014
Last updated
04/20/2014
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