Individual provider · Type 1 NPI

Eric Defonso, LMT

Massage Therapist · Longmont, CO

NPI number 1851063358 Active

Practice location

5470 Hygiene Rd
Longmont, CO 80503-9150

Call (970) 818-1567 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0018510 (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 1851063358

Eric Defonso, LMT's National Provider Identifier is 1851063358, issued on Oct 2, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longmont, CO. The record was last updated on Oct 2, 2021.