Michael Anthony Redline

NPI #1982213930 in Broomfield, Colorado

Provider Information

NPI Number: 1982213930
Entity Type: Individual
Name: Michael Anthony Redline
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 27, 2020
Last Updated: Jul 27, 2020

Practice Location

Address: 227 CYPRESS CIR
City: Broomfield
State: Colorado
ZIP Code: 80020-2930
Phone: (303) 625-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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