Individual
WILBERT TALMADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1912 CARR DR, LONGMONT, CO 80501-1817
(720) 290-9970
Mailing address
1912 CARR DR, LONGMONT, CO 80501-1817
(720) 290-9970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-3941
CO
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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