Organization
GARDEN MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH ROSS BOESHAAR (SOLE MEMBER)
(760) 486-8750
Entity
Organization
Contact information
Practice address
3154 LAKESIDE DR APT 103, GRAND JUNCTION, CO 81506-2841
(760) 486-8750
Mailing address
3154 LAKESIDE DR APT 103, GRAND JUNCTION, CO 81506-2841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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