Individual
DALE KOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
507 W LUCERNE DR, LAFAYETTE, CO 80026-2623
(970) 799-7012
Mailing address
507 W LUCERNE DR, LAFAYETTE, CO 80026-2623
(970) 799-7012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018263
CO
Other
Enumeration date
01/04/2016
Last updated
12/14/2016
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