Individual
CLYDE E CARPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
410 9TH ST, GOLDEN, CO 80401-1066
(303) 859-6632
Mailing address
919 3RD ST APT 2, GOLDEN, CO 80403-1400
(303) 859-6632
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015060
CO
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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