Individual
MICHAEL D GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4730 S COLLEGE AVE STE 103, FORT COLLINS, CO 80525-3763
(970) 692-6621
Mailing address
1525 HULL ST APT A4, FORT COLLINS, CO 80526-2275
(970) 692-6621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0020640
CO
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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