Anastasia E Dejulio
Massage Therapist in Longmont, CO. Individual provider (NPI-1).
NPI number1497521132
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1497521132
- Entity type
- Individual (NPI-1)
- Name
- Anastasia E Dejulio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2023
- Certification date
- Dec 2, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT.0001374 | CO | Yes |
Other names
- Anastasia Cooley (Former Name)
Practice location
2130 Mountain View Ave Ste 205Longmont, CO 80501-3177
Phone 720-352-3111
Mailing address
6311 Snowberry AveFirestone, CO 80504-6548
Phone 720-352-3111
Other practice locations
6311 Snowberry Ave
Firestone, CO 80504-6548
Firestone, CO 80504-6548
Phone 720-352-3111
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