Individual
AMANDA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
1551 PROFESSIONAL LN, STE 145, LONGMONT, CO 80501-6972
(720) 494-3290
(720) 494-3294
Mailing address
6979 S HOLLY CIR, STE 105, CENTENNIAL, CO 80112-1577
(303) 694-2295
(303) 694-1843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102072963
OWCP PROVIDER NUMBER
—
Enumeration date
06/28/2007
Last updated
08/25/2011
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