Organization
EVERGREEN THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONIQUE HQ FOX BS, LMT, BCTMB (PST)
(720) 471-3043
Entity
Organization
Contact information
Practice address
1240 BERGEN PKWY STE A230-11, EVERGREEN, CO 80439-9524
(720) 471-3043
Mailing address
PO BOX 1571, EVERGREEN, CO 80437-1571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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