Individual
TYLER MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 HIGHWAY 133, CARBONDALE, CO 81623-1645
(970) 963-2700
(970) 963-2702
Mailing address
PO BOX 3969, ASPEN, CO 81612-3969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019287
CO
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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