Individual
NATASHA DOVE SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
770 BURBANK ST, BROOMFIELD, CO 80020-1658
(303) 503-1011
Mailing address
780 BURBANK ST, 302, BROOMFIELD, CO 80020-7142
(303) 503-1011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031697
CO
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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