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NPI Profile for JUSTIN R WILLIS in THORNTON, CO.
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X | |||
Clinical Exercise Physiologist |
224Y00000X |
| NPI # | 1003186446 |
|
| Status | Active | |
| Credentials | LMT (Licensed Massage Therapist) | |
| Entity | Individual | |
| Enumeration date | 01/03/2012 | |
| Last updated | 01/03/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JUSTIN R WILLIS
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JUSTIN R WILLIS, LMT