Individual
MR. CHARLES DAVID DUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, PFT
Contact information
Practice address
933 ALPINE AVE, BOULDER, CO 80304-3305
(720) 438-0450
Mailing address
7911 W SUSSEX CT, NIWOT, CO 80503-7616
(720) 438-0450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024942
CO
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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