Individual
JOSHUA LEGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 S MAIN ST STE C, LONGMONT, CO 80501-1714
(303) 702-1612
Mailing address
2183 HACKBERRY CIR, LONGMONT, CO 80501-0920
(512) 992-9164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023353
CO
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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