NPI 1225260052

Phillip Douglas, CMT

Practitioner Massage Therapist Highlands Ranch, CO

Practice location

Address: 9299 S Broadway Suite 100, Highlands Ranch, CO 80120
Phone: (303) 683-3377
Fax: (303) 683-1453

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4309 (CO)

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Registry record

NPI: 1225260052
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2009
Record last updated: 12 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.