Individual provider · Type 1 NPI

Dirk McCuistion, L.M.T.

Massage Therapist · Boulder, CO

NPI number 1164818274 Active

Practice location

1640 Broadway
Boulder, CO 80302-6219

Call (303) 938-0388 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0010742 (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 1164818274

Dirk McCuistion, L.M.T.'s National Provider Identifier is 1164818274, issued on Apr 15, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Apr 15, 2015.