NPI 1003186446

Justin Ryan Willis, LMT

Practitioner Massage Therapist Thornton, CO

Practice location

Address: 12409 Albion St, Thornton, CO 80241-2932
Phone: (303) 525-0573

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2910 (CO)

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Clinical Exercise Physiologist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1003186446
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2012
Record last updated: 3 Jan 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.