Organization
PROFUNDUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R WINTER LMT (OWNER)
(303) 912-4861
Entity
Organization
Contact information
Practice address
1045 ACOMA ST, DENVER, CO 80204-4029
(303) 912-4861
Mailing address
1045 ACOMA ST, DENVER, CO 80204-4029
(303) 912-4861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1607
CO
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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