Individual
MR. RICHARD ALLEN ENOCKSEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
5551 29TH ST UNIT 715, GREELEY, CO 80634-8326
(970) 381-3456
Mailing address
5551 29TH ST UNIT 715, GREELEY, CO 80634-8326
(970) 381-3456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022466
CO
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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