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
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-6722
- Phone
- (720) 819-6366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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