Individual
MATTHEW P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1733 E 22ND AVE APT 1, DENVER, CO 80205-5588
(520) 609-2328
Mailing address
1733 E 22ND AVE APT 1, DENVER, CO 80205-5588
(520) 609-2328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022718
CO
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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