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WESLEY SCOTT ANDERSON

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1710562012

Individual Registrant:
 WESLEY SCOTT ANDERSON 
Gender: M
Sole Proprietor

Location and contact information for practice:
421 21ST AVE  LONGMONT, CO 80501-1469 US
Tel: 303-772-9600  Fax: --

Contact information for business:
PO BOX 3468  ESTES PARK, CO 80517-3468 US
Tel: 303-995-3541  Fax: --

Registration Information:
NPI: 1710562012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CO854438

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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