Wesley Scott Anderson
Massage Therapist in Longmont, CO. Individual provider (NPI-1).
NPI number1710562012
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1710562012
- Entity type
- Individual (NPI-1)
- Name
- Wesley Scott Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2021
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 854438 | CO | Yes |
Practice location
421 21st AveLongmont, CO 80501-1469
Phone 303-772-9600
Mailing address
Po Box 3468Estes Park, CO 80517-3468
Phone 303-995-3541
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