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Individual

MR. MICHAEL SCOTT MATHIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAR, NCTMB

Contact information

Practice address
116 W HARVARD ST, SUITE 2, FORT COLLINS, CO 80526
(970) 221-2728
Mailing address
116 W HARVARD ST, SUITE 2, FORT COLLINS, CO 80526
(970) 221-2728

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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