Individual provider · Type 1 NPI

Dominic Allen Sandoval, MT

Massage Therapist · Boulder, CO

NPI number 1073204152 Active

Practice location

1800 30th St Ste 219
Boulder, CO 80301-1026

Call (303) 444-1171 Map

Mailing address

2126 27th St
Greeley, CO 80631-8222

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0022804 (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 1073204152

Dominic Allen Sandoval, MT's National Provider Identifier is 1073204152, issued on May 18, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on May 18, 2023.