Individual
MR. BRIAN GERARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 S TROY ST, BLDG3 SUITE 107, AURORA, CO 80014-1946
(303) 209-3095
Mailing address
7150 W 42ND AVE, WHEAT RIDGE, CO 80033-4861
(570) 233-2535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11149
CO
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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