Boulder Acusport LLC

NPI #1265824866 in Boulder, Colorado

Provider Information

NPI Number: 1265824866
Entity Type: Organization
Organization Name: Boulder Acusport LLC
Primary Specialty: Acupuncturist
Enumeration Date: Feb 19, 2015
Last Updated: Feb 19, 2015

Practice Location

Address: 3400 TABLE MESA DR STE 201
City: Boulder
State: Colorado
ZIP Code: 80305-5850
Phone: (720) 441-4325

Authorized Official

Name: MARY V ELLIS
Title: OWNER
Phone: (720) 441-4325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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