Individual
MR. RODERICK PHADELL UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3955 E EXPOSITION AVE, DENVER, CO 80209-5000
(303) 777-1151
Mailing address
2221 S HAVANA ST, AURORA, CO 80014-1017
(303) 710-9986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019863
CO
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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