Organization
KNEADED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD WESTHEAD CMT (OWNER)
(303) 919-6042
Entity
Organization
Contact information
Practice address
3000 PEARL ST STE G2, BOULDER, CO 80301-2470
(303) 919-6042
Mailing address
3000 PEARL ST STE G2, BOULDER, CO 80301-2470
(303) 919-6042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013355
CO
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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