Individual
MR. LOREN O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, BCSI, CPT, FAFS
Contact information
Practice address
5455 W 38TH AVE UNIT N, WHEAT RIDGE, CO 80212-7068
(516) 305-3311
Mailing address
5455 W 38TH AVE UNIT N, WHEAT RIDGE, CO 80212-7068
(516) 305-3311
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
MT.0024558
CO
225700000X
Massage Therapist
Primary
MT.0024558
CO
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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