NPI 1619109113

Mountain Spirit Healing Arts Center

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Longmont, CO

Practice location

Address: 713 3rd Ave, Longmont, CO 80501-5926
Phone: (303) 772-6655

Authorised official

Name: Susan Malin
Title: Owner/Massage Therapist
Phone: (303) 772-6655

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 1340 (CO)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Colorado →

Registry record

NPI: 1619109113
Entity type: Organization
NPI issued: 17 Aug 2009
Record last updated: 17 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.