Individual
PAUL KUCHARYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2923 LAKE VERNA DR, LOVELAND, CO 80538-7193
(720) 237-5756
Mailing address
2923 LAKE VERNA DR, LOVELAND, CO 80538-7193
(720) 237-5756
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0004932
CO
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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