Individual
TABITHA CLOTIAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
2095 W 6TH AVE STE 115, BROOMFIELD, CO 80020-1879
(720) 612-7429
Mailing address
2095 W 6TH AVE STE 115, BROOMFIELD, CO 80020-1879
(720) 612-7429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020585
CO
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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