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Individual

KEN SHROPSHIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
10701 MELODY DR, SUITE 414, NORTHGLENN, CO 80234-4130
(303) 920-2350
(303) 453-0427
Mailing address
10701 MELODY DR, SUITE 414, NORTHGLENN, CO 80234-4130
(303) 920-2350
(303) 453-0427

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4409
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104052489
ESSENTIAL BODYWORKS, INC
CO
Enumeration date
06/01/2009
Last updated
06/01/2009
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