Individual provider · Type 1 NPI

Detra Williams, LMT

Massage Therapist · Aurora, CO

NPI number 1992154157 Active

Practice location

2323 S Troy St, Ste. 3-108
Aurora, CO 80014-1946

Call (303) 817-1503 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT0017067 (CO)
Massage Therapist 225700000XMT19288 (AZ)

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 1992154157

Detra Williams, LMT's National Provider Identifier is 1992154157, issued on Jun 8, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Aurora, CO. The record was last updated on Jun 8, 2016.