Clyde E Carper III, LMT

NPI #1457817561 in Golden, Colorado

Provider Information

NPI Number: 1457817561
Entity Type: Individual
Name: Clyde E Carper III, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 410 9TH ST
City: Golden
State: Colorado
ZIP Code: 80401-1066
Phone: (303) 859-6632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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