Trent Erickson NCMT

NPI 1003177569 - Massage Therapist - 225700000X

NPI Details
NPI 1003177569
Gender Male
Enumeration Date 05/31/2012
Last Updated 05/31/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
455 W 115TH AVE
UNIT 4
NORTHGLENN CO, 80234-3095, US
Phone (303) 859-3263
Fax
Business Location
17262 PARKSIDE DR S
COMMERCE CITY CO, 80022-0543, US
Phone (303) 746-4588
Fax
Toxanomy
Taxonomy Code 225700000X
License State Colorado
License Number MT-13285
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According to our database, Mr. Trent Erickson NCMT NPI is 1003177569, taxonomy code is 225700000X and license number is MT-13285, license state is located at Colorado. Trent Erickson NCMT physically located at 455 W 115th Ave, Northglenn CO, 80234-3095. NPI Number Trent Erickson NCMT has the Individual type.

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1003177569 NPI number is provided on an as is basis without warranty of any kind. 1003177569 is maintained by the National Plan & Provider Enumeration System. The contents of Trent Erickson NCMT are for informational purposes only.