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Individual

BLAKE MICHAEL HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
8120 SHERIDAN BLVD STE 206, WESTMINSTER, CO 80003-6104
(303) 815-5370
Mailing address
2350 E 160TH PL, THORNTON, CO 80602-7716
(303) 815-5370

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0018894
CO

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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