Most Relevant Information
Provider Data
| NPI Number: | 1003177569 |
| Provider Name: | TRENT ERICKSON NCMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT-13285 |
Most Important Dates
| Enumeration Date: | 05/31/2012 |
| Last Updated: | 05/31/2012 |
Provider Practice Location
455 W 115TH AVE
UNIT 4
NORTHGLENN
CO
802343095
Practice Location Phone/Fax
| Phone: | 3038593263 |
| Fax: |
Provider Mailing Location
17262 PARKSIDE DR S
COMMERCE CITY
CO
800220543
Provider Mailing Phone/Fax
| Phone: | 3037464588 |
| Fax: |