Individual
BYRON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 MAIN ST, LONGMONT, CO 80501-5535
(303) 242-6659
Mailing address
410 MAIN ST, LONGMONT, CO 80501-5535
(303) 242-6659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
539484-07
IA
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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