Individual
CHAZ CALEB GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 CARR ST, LAKEWOOD, CO 80214-5985
(800) 766-4255
Mailing address
1630 CARR ST, LAKEWOOD, CO 80214-5985
(800) 766-4255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013108
CO
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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