Individual
BENJAMIN CLAYTON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6363 W 120TH AVE STE 310, BROOMFIELD, CO 80020-2406
(720) 768-3381
Mailing address
160 HEMLOCK ST, BROOMFIELD, CO 80020-2207
(303) 590-8036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0021171
CO
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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