Individual
TAMARA LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1800 30TH ST STE 217B, BOULDER, CO 80301-1026
(720) 432-3554
Mailing address
1800 30TH ST STE 217B, BOULDER, CO 80301-1026
(720) 432-3554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017799
CO
Other
Enumeration date
08/27/2015
Last updated
03/16/2018
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