Individual
ROBERT MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3450 PENROSE PL STE 220, BOULDER, CO 80301-1810
(720) 840-1385
Mailing address
16500 RACE ST, THORNTON, CO 80602-7640
(720) 840-1385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13299
CO
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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