Greg Davenport

NPI #1881450849 in Mead, Colorado

Provider Information

NPI Number: 1881450849
Entity Type: Individual
Name: Greg Davenport
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 26, 2024
Last Updated: Feb 26, 2024

Practice Location

Address: 4119 MARBLE DR
City: Mead
State: Colorado
ZIP Code: 80504-5387
Phone: (760) 274-4105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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