Individual
SAMUEL BENJAMIN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 LA GRANGE CIR, BOULDER, CO 80305-6339
(720) 600-2525
Mailing address
2828 LA GRANGE CIR, BOULDER, CO 80305-6339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0022307
CO
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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