Individual
DAVID PACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
6545 GUNPARK DR, SUITE #270, BOULDER, CO 80301-3347
(303) 530-4415
Mailing address
4767 WHITE ROCK CIR, APT E, BOULDER, CO 80301-6765
(970) 846-4437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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