Individual
MR. TRENT ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCMT
Contact information
Practice address
455 W 115TH AVE, UNIT 4, NORTHGLENN, CO 80234-3095
(303) 859-3263
Mailing address
17262 PARKSIDE DR S, COMMERCE CITY, CO 80022-0543
(303) 746-4588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13285
CO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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