Individual
DETRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2323 S TROY ST, STE. 3-108, AURORA, CO 80014-1946
(303) 817-1503
Mailing address
2323 S TROY ST, STE. 3-108, AURORA, CO 80014-1946
(303) 817-1503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0017067
CO
225700000X
Massage Therapist
MT19288
AZ
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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