Shane E Ditlow
Shane E Ditlow is a Massage Therapist in Broomfield, Colorado. Licensed in Colorado. Registered with an NPI since 2024.
- Licensed in
- CO
- In the registry since
- 2024
Practice location Address checks out
1010 Depot Hill RdBroomfield, CO 80020-6722
Phone: (720) 819-6366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT.0026623 (CO) |
|---|
Record details
| NPI number | 1093532756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2024 |
| Last updated in NPPES | September 24, 2024 |
| Certification date | September 24, 2024 |
| Mailing address | 1010 Depot Hill Rd, Broomfield, CO 80020-6722 |
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