Individual provider · Type 1 NPI

Shane E. Ditlow

Massage Therapist · Broomfield, CO

NPI number 1093532756 Active

About NPI 1093532756

Shane E. Ditlow's National Provider Identifier is 1093532756, issued on Sep 24, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Broomfield, CO. The record was last updated on Sep 24, 2024.