NPI 1003177569

Trent Erickson, NCMT

Practitioner Massage Therapist Northglenn, CO

Practice location

Address: 455 W 115th Ave Unit 4, Northglenn, CO 80234-3095
Phone: (303) 859-3263
Mailing address: 17262 Parkside Dr S, Commerce City, CO 80022-0543

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-13285 (CO)

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Registry record

NPI: 1003177569
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2012
Record last updated: 31 May 2012

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.