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Leslie Icaro, MT
Massage Therapist in Wheat Ridge, Colorado
NPI 1639845183

Leslie Icaro is a Massage Therapist based in Golden, CO. Leslie Icaro practices in Wheat Ridge, CO and has the professional credentials of MT. The NPI Number for Leslie Icaro is 1639845183 and holds a License No. MT.0006164 (Colorado).

The current practice location address for Leslie Icaro is 4380 Harlan St Ste 202, Wheat Ridge, CO and can be reached out via phone at 303-472-0193.

Location: 4380 Harlan St Ste 202, Wheat Ridge, CO, 80401-4143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639845183
Provider Name
Leslie Icaro
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
4380 Harlan St Ste 202, Wheat Ridge, CO, 80401-4143
Phone Number
303-472-0193
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4380 Harlan St Ste 202
City
Wheat Ridge
State
Colorado
Zip
80033-5137
Phone Number
303-472-0193
Fax Number
person
Provider Business Mailing Address Details
Address
4380 Harlan St Ste 202
City
Wheat Ridge
State
Colorado
Zip
80033-5137
Phone Number
303-472-0193
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT.0006164 (Colorado)
Definition
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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