Individual
MR. ERIC BRYANT EAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1075 S YUKON ST STE 320, LAKEWOOD, CO 80226-4333
(720) 408-5690
Mailing address
4271 S LAREDO WAY, AURORA, CO 80013-2705
(720) 408-5690
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023967
CO
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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