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Kevin Riddle, CMT,LMT,LMTI
Massage Therapist in Boulder, Colorado
NPI 1518297027

Kevin Riddle is a Massage Therapist based in Boulder, CO. Kevin Riddle practices in Boulder, CO and has the professional credentials of CMT,LMT,LMTI. The NPI Number for Kevin Riddle is 1518297027 and holds a License No. 5170 (Colorado).

The current practice location address for Kevin Riddle is 1240 Linden Ave Apt A, Boulder, CO and can be reached out via phone at 303-249-1054.

Location: 1240 Linden Ave Apt A, Boulder, CO, 80304-1549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518297027
Provider Name
Kevin Riddle
Credential
CMT,LMT,LMTI
Provider Entity Type
Individual
Gender
Male
Address
1240 Linden Ave Apt A, Boulder, CO, 80304-1549
Phone Number
303-249-1054
Fax Number
Provider Enumeration Date
01/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1240 Linden Ave Apt A
City
Boulder
State
Colorado
Zip
80304-1549
Phone Number
303-249-1054
Fax Number
person
Provider Business Mailing Address Details
Address
1240 Linden Ave Apt A
City
Boulder
State
Colorado
Zip
80304-1549
Phone Number
303-249-1054
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
5170 (New Mexico)
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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