Individual provider · Type 1 NPI
Destine Robertson, C.M.T
Massage Therapist · Centennial, CO
NPI number
1457507311
Active
Practice location
7200 E Dry Creek Rd Ste A101
Centennial, CO 80112-2556
Mailing address
19574 Silver Ranch Rd
Conifer, CO 80433-5607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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 1457507311
Destine Robertson, C.M.T's National Provider Identifier is 1457507311, issued on Aug 12, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Centennial, CO. The record was last updated on Aug 12, 2008.