OrganizationActive
Advanced Therapeutic Massage
NPI 1851664213 · Massage Therapist · Lakewood, CO
Provider details
- NPI number
- 1851664213
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Candace Roisum, Massage Therapist(720) 335-1118
- License
- 4244 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1701 Kipling St Ste 105
Lakewood, CO 80215-2848
Phone: (720) 335-1118
Fax: (303) 238-5553
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Kipling St Ste 105
Lakewood, CO 80215-2848
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2012-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.