Individual
LISA ZUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 WALNUT ST STE 108, BOULDER, CO 80301-2558
(303) 258-3185
Mailing address
PO BOX 71, NEDERLAND, CO 80466-0071
(303) 258-3185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6417
CO
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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