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Samantha Lee Namenyi

Massage Therapist in Parker, CO. Individual provider (NPI-1).

NPI number1124635776
StatusActive
Last updated in NPPESSep 28, 2020

Details

NPI
1124635776
Entity type
Individual (NPI-1)
Name
Samantha Lee Namenyi
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2020
Certification date
Sep 28, 2020
Last updated
Sep 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT.0021743COYes
225700000X Massage Therapist–CO

Practice location

45690 Coal Creek Rd
Parker, CO 80138-4405

Phone 352-229-3104

Mailing address

45690 Coal Creek Rd
Parker, CO 80138-4405

Phone 352-229-3104

Other practice locations

45690 Coal Creek Rd
Parker, CO 80138-4405

Phone 352-229-3104

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