Individual
SHERRI BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
11960 LIONESS WAY, SUITE 280, PARKER, CO 80134-5640
(303) 790-7877
(303) 799-4676
Mailing address
11960 LIONESS WAY, SUITE 280, PARKER, CO 80134-5640
(303) 790-7877
(303) 799-4676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0004485
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0004485
STATE OF COLORADO
CO
Enumeration date
09/13/2016
Last updated
09/13/2016
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