person
David William Dolan, LMT-MASSAGETHERA
Massage Therapist in Durango, Colorado
NPI 1205950292

David William Dolan is a Massage Therapist based in Pagosa Springs, CO. David William Dolan practices in Durango, CO and has the professional credentials of LMT-MASSAGETHERA. The NPI Number for David William Dolan is 1205950292 and holds a License No. MA# 10055 (Colorado).

The current practice location address for David William Dolan is 575 Rivergate, Durango, CO and can be reached out via phone at 505-947-0112.

Location: 575 Rivergate, Durango, CO, 81147-2462
person
Provider Profile Details
NPI Number
1205950292
Provider Name
David William Dolan
Credential
LMT-MASSAGETHERA
Provider Entity Type
Individual
Gender
Male
Address
575 Rivergate, Durango, CO, 81147-2462
Phone Number
505-947-0112
Fax Number
Provider Enumeration Date
03/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
593341785 01 FL FEIN
7499 01 CO LICENSED MASSAGE THERAPIST
MA# 10055 01 FL LIC. MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
575 Rivergate
City
State
Zip
81301-7487
Phone Number
505-947-0112
Fax Number
person
Provider Business Mailing Address Details
Address
575 Rivergate
City
State
Zip
81301-7487
Phone Number
505-947-0112
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA# 10055 (Florida)
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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