Individual
WYATT DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8805 W 14TH AVE STE 320, LAKEWOOD, CO 80215-4850
(260) 241-4531
Mailing address
8861 W LOUISIANA PL, LAKEWOOD, CO 80232-5214
(260) 241-4531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0026395
CO
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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