Individual
SYDNEY C FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4710 TABLE MESA DR STE B, BOULDER, CO 80305-4504
(303) 499-9892
Mailing address
4710 TABLE MESA DR STE B, BOULDER, CO 80305-4504
(303) 499-9892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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