Organization
COLORADO MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ANDREW GAINES JR. R.M.T. (DIRECTOR)
(303) 443-5202
Entity
Organization
Contact information
Practice address
3109 28TH ST, BOULDER, CO 80301-1315
(303) 443-5202
(303) 440-8897
Mailing address
3109 28TH ST, BOULDER, CO 80301-1315
(303) 443-5202
(303) 440-8897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2498
CO
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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