Individual
DONALD FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
514 28 1/4 RD UNIT 4, GRAND JUNCTION, CO 81501-4961
(970) 644-5255
(970) 644-5255
Mailing address
2458 THUNDER MOUNTAIN DR UNIT 412, GRAND JUNCTION, CO 81505-4856
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0016901
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0016901
MASSAGE THERAPY LICENSE
CO
Enumeration date
07/12/2017
Last updated
07/12/2017
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