Individual
MICHAEL ANTHONY REDLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 CYPRESS CIR, BROOMFIELD, CO 80020-2930
(303) 625-3991
Mailing address
227 CYPRESS CIR, BROOMFIELD, CO 80020-2930
(303) 625-3991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013929
CO
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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