Individual
CRYSTAL A BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 W DILLON RD, SUITE 1, LOUISVILLE, CO 80027-1297
(303) 554-1600
(720) 328-8188
Mailing address
1148 W DILLON RD, SUITE 1, LOUISVILLE, CO 80027-1297
(303) 554-1600
(720) 328-8188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NLC12108
CO
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
MT2612
CO
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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