Individual
STEPHEN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 TABLE MESA DR STE 203, BOULDER, CO 80305-5850
(303) 499-9892
Mailing address
3400 TABLE MESA DR STE 203, BOULDER, CO 80305-5850
(303) 499-9892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5030
CO
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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