Individual
MADDISON RAINAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3566 E FAIR PL, CENTENNIAL, CO 80121-3025
(303) 763-0172
Mailing address
3566 E FAIR PL, CENTENNIAL, CO 80121-3025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0021227
CO
225700000X
Massage Therapist
Primary
MT.0021227
CO
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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