Individual
AMY PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75 MANHATTAN DR, SUITE 302, BOULDER, CO 80303-4254
(832) 291-9174
Mailing address
3335 CASE CIR, BOULDER, CO 80305-5815
(832) 291-9174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017244
CO
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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