Individual
KATHRYN DIANA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT NCTMB
Contact information
Practice address
2439 BROADWAY STREET, BOULDER, CO 80304
(303) 359-9278
Mailing address
PO BOX 1369, BOULDER, CO 80306-1369
(303) 359-9278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9570
CO
Other
Enumeration date
12/28/2009
Last updated
09/23/2010
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