Individual
ERIC DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 W MAIN ST UNIT A, CEDAREDGE, CO 81413-3338
(970) 238-0104
Mailing address
PO BOX 967, CEDAREDGE, CO 81413-0967
(970) 238-0104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0004311
CO
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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