Individual
CARLA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
410 9TH ST, GOLDEN, CO 80401-1066
(303) 995-7735
Mailing address
12209 W 2ND PL APT 4301, LAKEWOOD, CO 80228-1562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015738
CO
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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