Organization
REALM
Active
Organization
REALM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON K DUTTON RYT, RMT (OWNER)
(303) 953-9892
Entity
Organization
Contact information
Practice address
1500 28TH ST, BOULDER, CO 80303-1002
(303) 953-9892
Mailing address
1500 28TH ST, BOULDER, CO 80303-1002
(303) 953-9892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7891
CO
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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