Individual
AVERY MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
12380 W 64TH AVE, ARVADA, CO 80004-4016
(303) 467-5337
Mailing address
PO BOX 151257, LAKEWOOD, CO 80215-9257
(765) 265-5513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0024667
CO
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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