Individual
LISA RENEE HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1560 E ST, GOLDEN, CO 80401-4924
(303) 332-9111
Mailing address
1560 E ST, GOLDEN, CO 80401-4924
(303) 332-9111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017805
CO
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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