Peter Haywood, LMT
Massage Therapist in Boulder, CO. Individual provider (NPI-1).
NPI number1902296551
StatusActive
Last updated in NPPESFeb 3, 2015
Details
- NPI
- 1902296551
- Entity type
- Individual (NPI-1)
- Name
- Peter Haywood
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2015
- Last updated
- Feb 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT 0014341 | CO | Yes |
Practice location
4710 Table Mesa DrSuite B
Boulder, CO 80305-4503
Phone 303-499-9892
Mailing address
4710 Table Mesa DrSuite B
Boulder, CO 80305-4503
Phone 303-499-9892
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