Individual
TIMOTHY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7035 W 120TH AVE APT 25, BROOMFIELD, CO 80020-2348
(608) 395-1790
Mailing address
7035 W 120TH AVE APT 25, BROOMFIELD, CO 80020-2348
(608) 395-1790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025974
CO
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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