Individual provider · Type 1 NPI

Samuel Wayne Moulds, LMT

Massage Therapist · Fort Collins, CO

NPI number 1063160836 Active

Practice location

612 W Laurel St
Fort Collins, CO 80521-3620

Call (701) 740-0551 Map

Mailing address

317 E Laurel St
Fort Collins, CO 80524-3155

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0023620 (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 1063160836

Samuel Wayne Moulds, LMT's National Provider Identifier is 1063160836, issued on Mar 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 11, 2022.