MR. Dominic Allen Sandoval, MT

NPI #1073204152 in Boulder, Colorado

Provider Information

NPI Number: 1073204152
Entity Type: Individual
Name: MR. Dominic Allen Sandoval, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: May 18, 2023
Last Updated: May 18, 2023

Practice Location

Address: 1800 30TH ST STE 219
City: Boulder
State: Colorado
ZIP Code: 80301-1026
Phone: (303) 444-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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