Most Relevant Information
Provider Data
| NPI Number: | 1003670381 |
| Provider Name: | MANON LOUSTAUNAU |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT.0026175 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
1260 E 1ST AVE UNIT A
BROOMFIELD
CO
800203792
Practice Location Phone/Fax
| Phone: | 7207164518 |
| Fax: |
Provider Mailing Location
1033 W 14TH AVE
DENVER
CO
802042524
Provider Mailing Phone/Fax
| Phone: | 8043997620 |
| Fax: |