Individual
KEGAN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5191 S YOSEMITE ST STE B, GREENWOOD VILLAGE, CO 80111-3360
(303) 577-9977
Mailing address
5191 S YOSEMITE ST STE B, GREENWOOD VILLAGE, CO 80111-3360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4563
CO
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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