Individual
MR. ANDREA SPADAFORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
510 N SHIELDS ST APT B, FORT COLLINS, CO 80521-1895
(970) 279-1079
Mailing address
510 N SHIELDS ST APT B, FORT COLLINS, CO 80521-1895
(970) 279-1079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0018784
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
N/A
CO
Enumeration date
05/26/2021
Last updated
05/26/2021
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