Mr. Ryan Samuel Pack
Mr. Ryan Samuel Pack is a Massage Therapist in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2012
Practice location Address checks out
500 9th Ave Ste 5Longmont, CO 80501-4598
Phone: (303) 590-4969
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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 2746 (CO) |
|---|
Record details
| NPI number | 1588908859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 26, 2012 |
| Last updated in NPPES | November 26, 2012 |
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