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Natasha Dove Shephard, CMT

Massage Therapist in Broomfield, CO. Individual provider (NPI-1).

NPI number1760619084
StatusActive
Last updated in NPPESJun 12, 2009

Details

NPI
1760619084
Entity type
Individual (NPI-1)
Name
Natasha Dove Shephard
Credential
CMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 12, 2009
Last updated
Jun 12, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist031697COYes

Practice location

770 Burbank St
Broomfield, CO 80020-1658

Phone 303-503-1011

Mailing address

780 Burbank St
302
Broomfield, CO 80020-7142

Phone 303-503-1011

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