Shane E Ditlow

NPI #1093532756 in Broomfield, Colorado

Provider Information

NPI Number
1093532756
Entity Type
Individual
Name
Shane E Ditlow
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Enumeration Date
Sep 24, 2024
Last Updated
Sep 24, 2024

Practice Location

Address
1010 DEPOT HILL RD
ZIP Code
80020-6722
Phone
(720) 819-6366

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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