BODY WORK appointment request

*First Name
*Last Name
*Address 1
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*State
*Zip
*Phone
*Email
Enter your message
Type of Body Work being requested
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Muscular Therapy
Myofacial technique
Compassionate Touch
Relaxation and focused Deep Tissue
Reiki or polarity therapy
Shiatsu/energy work
Cranio Sacral Therapy
Somato emotional release therapy
Hot Stone Massage
Foot and Hand Reflexology
Facials/facial waxing
Jin Shin Jyutsu
*Date and time of requested appointment
Practitioner request
Kim Adami
Ricia Fleming
Ulrike Kapp
Carrie Lynch
Deanna Spinelli Pothier
Kathleen Smyers
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