Dylan Thomas Scioletti, MT
Massage Therapist in Glenwood Springs, CO. Individual provider (NPI-1).
NPI number1154908366
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1154908366
- Entity type
- Individual (NPI-1)
- Name
- Dylan Thomas Scioletti
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT.0021931 | CO | Yes |
Practice location
401 23rd St Ste 104aGlenwood Springs, CO 81601-4363
Phone 781-367-7022
Mailing address
52089 Highway 6 Apt A411Glenwood Springs, CO 81601-2836
Phone 781-367-7022
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