Individual
MYLES LARUE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
200 QUEBEC ST # 215, DENVER, CO 80230-7144
(303) 341-0369
Mailing address
200 QUEBEC ST # 215, DENVER, CO 80230-7144
(303) 341-0369
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020290
CO
Other
Enumeration date
05/02/2019
Last updated
06/11/2019
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