Individual
DOREEN LARISCH BAREFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 SABETA DR, RIDGWAY, CO 81432-9357
(808) 280-0577
Mailing address
PO BOX 794, RIDGWAY, CO 81432-0794
(808) 280-0577
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024186
CO
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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