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Garden Massage LLC

Massage Therapist in Grand Junction, CO. Organization (NPI-2).

NPI number1962271007
StatusActive
Last updated in NPPESJan 1, 2024

Details

NPI
1962271007
Entity type
Organization (NPI-2)
Legal business name
Garden Massage LLC
Organization subpart
No
Enumeration date
Jan 1, 2024
Certification date
Dec 30, 2023
Last updated
Jan 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

3154 Lakeside Dr Apt 103
Grand Junction, CO 81506-2841

Phone 760-486-8750

Mailing address

3154 Lakeside Dr Apt 103
Grand Junction, CO 81506-2841

Authorized official

Elisabeth Ross Boeshaar
Sole Member
7604868750

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