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Brian Lee Blanck
Massage Therapist in Boulder, Colorado
NPI 1114278314

Brian Lee Blanck is a Massage Therapist based in Boulder, CO. Brian Lee Blanck practices in Boulder, CO. The NPI Number for Brian Lee Blanck is 1114278314 and holds a License No. 0005970 (Colorado).

The current practice location address for Brian Lee Blanck is 1800 30Th St, Boulder, CO and can be reached out via phone at 303-444-1171.

Location: 1800 30Th St, Boulder, CO, 80301-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114278314
Provider Name
Brian Lee Blanck
Credential
Provider Entity Type
Individual
Gender
Male
Address
1800 30Th St, Boulder, CO, 80301-1088
Phone Number
303-444-1171
Fax Number
Provider Enumeration Date
09/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 30Th St
City
Boulder
State
Colorado
Zip
80301-1088
Phone Number
303-444-1171
Fax Number
person
Provider Business Mailing Address Details
Address
1800 30Th St
City
Boulder
State
Colorado
Zip
80301-1088
Phone Number
303-444-1171
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0005970 (Colorado)
Definition
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.
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