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Mr. Yevgeniy Fedorov
Massage Therapist in Boulder, Colorado
NPI 1295108108

Yevgeniy Fedorov is a Massage Therapist based in Boulder, CO. Yevgeniy Fedorov practices in Boulder, CO. The NPI Number for Yevgeniy Fedorov is 1295108108 and holds a License No. MT.0017306 (Colorado).

The current practice location address for Yevgeniy Fedorov is 1800 30Th St Ste 215, Boulder, CO and can be reached out via phone at 303-444-1171.

Location: 1800 30Th St Ste 215, Boulder, CO, 80301-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295108108
Provider Name
Yevgeniy Fedorov
Credential
Provider Entity Type
Individual
Gender
Male
Address
1800 30Th St Ste 215, Boulder, CO, 80301-1026
Phone Number
303-444-1171
Fax Number
Provider Enumeration Date
11/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 30Th St Ste 215
City
Boulder
State
Colorado
Zip
80301-1026
Phone Number
303-444-1171
Fax Number
person
Provider Business Mailing Address Details
Address
1800 30Th St Ste 215
City
Boulder
State
Colorado
Zip
80301-1026
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.
MT.0017306 (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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