Individual
KIRK SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2008 BLUE MESA CT, LOVELAND, CO 80538-4188
(970) 218-7179
Mailing address
2008 BLUE MESA CT, LOVELAND, CO 80538-4188
(970) 218-7179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
090620950
CO
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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