Individual
MICHAEL ANTHONY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 28 1/4 RD, GRAND JUNCTION, CO 81501-4961
(970) 242-8162
(970) 245-4308
Mailing address
3018 HILL CT, GRAND JUNCTION, CO 81504-5853
(970) 260-6791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3818
CO
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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