Individual
BRENNA LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1800 30TH ST STE 219, BOULDER, CO 80301-1026
(303) 444-1171
Mailing address
3600 IRIS AVE APT A, BOULDER, CO 80301-2001
(240) 750-9144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024761
CO
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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