Individual
SHANE SALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
16434 E ADRIATIC PL, AURORA, CO 80013-1105
(720) 939-3585
Mailing address
16434 E ADRIATIC PL, AURORA, CO 80013-1105
(720) 939-3585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0001571
CO
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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