Individual
DOUGLAS COURSEN CALDWELL
Active
Individual
DOUGLAS COURSEN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0330922
CO
225700000X
Massage Therapist
Primary
MT0014602
CO
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
Update your record
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