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Individual

MATTHEW JACOB RENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3970 BROADWAY ST UNIT 201G, BOULDER, CO 80304-1135
(845) 558-0738
Mailing address
6174 TREVARTON DR, LONGMONT, CO 80503-9028
(845) 558-0738

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0026869
CO

Other

Enumeration date
10/12/2024
Last updated
10/12/2024
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