Individual
MR. ALFRED SMITH WESTLAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB, RMT
Contact information
Practice address
1931 BOISE AVE, SUITE 122, LOVELAND, CO 80538-4296
(970) 213-3364
Mailing address
323 W 10TH ST, LOVELAND, CO 80537-4617
(970) 213-3364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
756
CO
Other
Enumeration date
01/21/2011
Last updated
10/31/2012
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