Individual
RANDY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
980 N GRANT ST, DENVER, CO 80203-3684
(303) 832-3668
Mailing address
980 N GRANT ST, DENVER, CO 80203-3684
(303) 832-3668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022769
CO
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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