Individual
DANA WODTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1121 FRONTIER DR, LONGMONT, CO 80501-3108
(303) 444-4628
Mailing address
1121 FRONTIER DR, LONGMONT, CO 80501-3108
(303) 444-4628
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
MT0006409
CO
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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