Individual
MR. DEREK WELLER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
8955 RIDGELINE BLVD, SUITE 500, LITTLETON, CO 80129-2362
(720) 488-4100
Mailing address
PO BOX 2282, ENGLEWOOD, CO 80150-2282
(406) 599-9145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11436
CO
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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