Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 11473 | CO |
NPI | 1003152547 |
---|---|
Provider Name | Cindi Vogt |
First Address | Englewood, CO 80113-2674 |
Second Address | Englewood, CO 80113-2674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2013 |
Last Update Date | 02/01/2013 |