Individual
JERALD R MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
7500 W MISSISSIPPI AVE, SUITE B120, LAKEWOOD, CO 80226-4550
(303) 922-7946
Mailing address
2700 S FENTON ST, DENVER, CO 80227-4118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
614
CO
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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