Individual
ALEX WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11325 COLORADO BLVD, THORNTON, CO 80233-2601
(303) 457-2022
Mailing address
4170 RIVERSIDE AVE, BOULDER, CO 80304-1128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023842
CO
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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