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Stephanie Kay Agakian Colon, LMT

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

NPI number1982136404
StatusActive
Last updated in NPPESAug 11, 2021

Details

NPI
1982136404
Entity type
Individual (NPI-1)
Name
Stephanie Kay Agakian Colon
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2017
Certification date
Aug 11, 2021
Last updated
Aug 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT.0014712COYes
173C00000X ReflexologistMT.0014712CO

Practice location

9769 W 119th Dr
Ste 23
Broomfield, CO 80021-2586

Phone 720-295-0896

Mailing address

9769 W 119th Dr Ste 28
Broomfield, CO 80021-2560

Phone 720-295-0896

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