Individual
BRIAN SEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4710 TABLE MESA DR STE B, BOULDER, CO 80305-4504
(303) 499-9892
Mailing address
3865 CARLOCK DR, BOULDER, CO 80305-6510
(303) 472-0404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003916
CO
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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