Individual provider · Type 1 NPI

Traci L. Bennett, LMT

Massage Therapist · Boulder, CO

NPI number 1356957955 Active

Practice location

1810 30th St
Boulder, CO 80301-1035

Call (413) 531-8774 Map

Mailing address

2300 S Rock Creek Pkwy Apt 29-203
Superior, CO 80027-4418

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0022032 (CO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1356957955

Traci L. Bennett, LMT's National Provider Identifier is 1356957955, issued on Sep 18, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Sep 18, 2020.