Individual provider · Type 1 NPI

Justin Ryan Willis, LMT

Massage Therapist · Thornton, CO

NPI number 1003186446 Active

Practice location

12409 Albion St
Thornton, CO 80241-2932

Call (303) 525-0573 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Exercise Physiologist 224Y00000XNone listed
Massage Therapist Primary 225700000X2910 (CO)

Massage Therapist: 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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About NPI 1003186446

Justin Ryan Willis, LMT's National Provider Identifier is 1003186446, issued on Jan 3, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Thornton, CO. The record was last updated on Jan 3, 2012.