Individual
JAMISUN SKY VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LMT, NCBTMB
Contact information
Practice address
5603 ARAPAHOE AVE STE 5, BOULDER, CO 80303-1377
(720) 989-1513
Mailing address
1455 ALPINE AVE, BOULDER, CO 80304-3505
(303) 919-2498
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002084
CO
225700000X
Massage Therapist
4550
CO
Other
Enumeration date
02/03/2010
Last updated
07/21/2022
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