Individual
CHRISTOPHER LATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2868 30TH ST, BOULDER, CO 80301-1212
(303) 440-1440
Mailing address
2635 MAPLETON AVE #151, BOULDER, CO 80304
(720) 636-5131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017804
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0017804
MASSAGE THERAPY LICENCE - COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS
CO
Enumeration date
07/12/2017
Last updated
07/12/2017
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