Individual
RICHARD DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2418 E BRIDGE ST, BRIGHTON, CO 80601-2546
(303) 655-8699
Mailing address
2418 E BRIDGE ST, BRIGHTON, CO 80601-2546
(303) 655-8699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015702
CO
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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