NPI 1023459070

Carmen Wilson, MT

Practitioner Massage Therapist Boulder, CO

Practice location

Address: 3400 Table Mesa Dr Suite 203, Boulder, CO 80305-5869
Phone: (303) 499-9892

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0014516 (CO)

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Registry record

NPI: 1023459070
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2013
Record last updated: 7 Jul 2013

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.