Individual
NATHAN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 S WADSWORTH BLVD, SUITE 325, LAKEWOOD, CO 80235-2203
(720) 939-8948
Mailing address
943 W ELLSWORTH AVE, DENVER, CO 80223-1605
(720) 939-8948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003553
CO
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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