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Individual

MICHELLE CASTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 W ARKANSAS AVE, DENVER, CO 80223-3225
(720) 583-3614
Mailing address
418 LOWELL BLVD, DENVER, CO 80204-4742

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014127
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT.0014127
STATE OF COLORADO - MASSAGE THERAPIST LICENSE
CO
Enumeration date
09/12/2017
Last updated
09/12/2017
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