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Individual

KATY MENDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, CMT

Contact information

Practice address
814 FOREST ST, DENVER, CO 80220-4408
(720) 350-3283
Mailing address
PO BOX 6344, DENVER, CO 80206-0344

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
225700000X
Massage Therapist

Other

Enumeration date
10/03/2007
Last updated
11/06/2007
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