Individual
ANSON BLAKE KEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2320 GOSS ST APT 4, BOULDER, CO 80302-6682
(458) 209-6501
Mailing address
2320 GOSS ST APT 4, BOULDER, CO 80302-6682
(458) 209-6501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023104
CO
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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