Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 0021703 | CO |
NPI | 1013502475 |
---|---|
Provider Name | Christopher Curry |
First Address | Lakewood, CO 80227-4452 |
Second Address | Lakewood, CO 80228-6030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2021 |
Last Update Date | 07/03/2021 |