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Mr. Ryan Samuel Pack
Massage Therapist in Longmont, Colorado
NPI 1588908859

Ryan Samuel Pack is a Massage Therapist based in Longmont, CO. Ryan Samuel Pack practices in Longmont, CO. The NPI Number for Ryan Samuel Pack is 1588908859 and holds a License No. 2746 (Colorado).

The current practice location address for Ryan Samuel Pack is 500 9Th Ave, Longmont, CO and can be reached out via phone at 303-590-4969. You can also correspond with Ryan Samuel Pack through the mailing address at 107 CARIBOU PL, LONGMONT, CO - 80504-1206 (mailing address contact number: 303-590-4969).

Location: 500 9Th Ave, Longmont, CO, 80504-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588908859
Provider Name
Ryan Samuel Pack
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 9Th Ave, Longmont, CO, 80504-1206
Phone Number
303-590-4969
Fax Number
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 9Th Ave
City
Longmont
State
Colorado
Zip
80501-4598
Phone Number
303-590-4969
Fax Number
person
Provider Business Mailing Address Details
Address
500 9Th Ave
City
Longmont
State
Colorado
Zip
80501-4598
Phone Number
303-590-4969
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2746 (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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