Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE E DITLOW
ActiveSHANE E DITLOW is a Massage Therapist healthcare provider located in BROOMFIELD, Colorado. NPI 1093532756 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BROOMFIELD, CO
Registration Details
- NPI Number
- 1093532756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2024 (1.8782372562259 yrs)
- Last Updated
- Sep 24, 2024
- License
-
MT.0026623 (CO)
Practice Information
- Address
-
1010 DEPOT HILL RDBROOMFIELD, CO, 800206722Browse CO providers · Browse ZIP 80020
- Phone
- 7208196366
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BROOMFIELD, CO
| Name | Credential | NPI |
|---|---|---|
| JUDY MAXFIELD | MT | 1083735385 |
| MR. JAMES D. MONTGOMERY | CMT | 1063679132 |
| KATHLEEN NOELLE | C.M.T. | 1295977841 |
| STACI WILLIAMS | CMT | 1396988457 |
| MS. VICTORIA PEREIRA | NCTMB | 1396970067 |
| NATASHA DOVE SHEPHARD | CMT | 1760619084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.