Individual
MR. NATHANIEL EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
422 N BROADWAY, DENVER, CO 80203-3404
(303) 668-1438
Mailing address
7175 W KENTUCKY DR APT B, LAKEWOOD, CO 80226-4411
(303) 668-1438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0004654
CO
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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