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Individual

MR. MICHAEL ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1330 S POTOMAC ST STE 100, AURORA, CO 80012-4527
(303) 745-0803
(720) 306-3758
Mailing address
1330 S POTOMAC ST STE 100, AURORA, CO 80012-4527
(303) 745-0803
(720) 306-3758

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0022523
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
NA
Enumeration date
09/05/2019
Last updated
09/05/2019
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