Organization
SUZANNE GOLDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE GOLDEN (MASSAGE THERAPIST)
(970) 667-7004
Entity
Organization
Contact information
Practice address
1524 W EISENHOWER BLVD STE B, LOVELAND, CO 80537-4343
(970) 667-7004
Mailing address
1468 CATTAIL DRIVE, LOVELAND, CO 80537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
GOLD438317
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GOLD438317
MASSAGE LICENSE
CO
Enumeration date
09/01/2016
Last updated
09/01/2016
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