Lisa Renee Burch, CMT Valid NPI
Individual provider · Massage Therapist · Ignacio, CO
- NPI
- 1861797854
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 2611 (CO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Practice location
14324 Us Hwy 172 North
Ignacio, CO 81137-0000
(970) 563-6267