Individual provider · Type 1 NPI

Breeona M. Wautlet, LMT

Massage Therapist · Denver, CO

NPI number 1588958656 Active

Practice location

1315 Mariposa St
Denver, CO 80204-2500

Call (720) 629-0258 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11914 (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 1588958656

Breeona M. Wautlet, LMT's National Provider Identifier is 1588958656, issued on Jun 6, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Denver, CO. The record was last updated on Jun 6, 2011.