Individual
KYLE DOKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4465 CHATEAU DR, LOVELAND, CO 80538-1591
(970) 439-1992
Mailing address
4465 CHATEAU DR, LOVELAND, CO 80538-1591
(970) 402-5287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023613
CO
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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