Kneaded LLC

NPI #1699019448 in Boulder, Colorado

Provider Information

NPI Number: 1699019448
Entity Type: Organization
Organization Name: Kneaded LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 17, 2012
Last Updated: Nov 17, 2012

Practice Location

Address: 3000 PEARL ST STE G2
City: Boulder
State: Colorado
ZIP Code: 80301-2470
Phone: (303) 919-6042

Authorized Official

Name: MR. EDWARD WESTHEAD, CMT
Title: OWNER
Phone: (303) 919-6042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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