Individual
MR. DANIEL TREVOR NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1517 CRAWFORD WAY, GLENWOOD SPRINGS, CO 81601-4577
(970) 309-8721
Mailing address
1517 CRAWFORD WAY, GLENWOOD SPRINGS, CO 81601-4577
(970) 309-8721
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
969209
ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
CO
Enumeration date
11/03/2010
Last updated
11/03/2010
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