Most Relevant Information
Provider Data
| NPI Number: | 1003323866 |
| Provider Name: | TABITHA CLOTIAUX RMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT.0020585 |
Most Important Dates
| Enumeration Date: | 01/02/2018 |
| Last Updated: | 01/02/2018 |
Provider Practice Location
2095 W 6TH AVE STE 115
BROOMFIELD
CO
800201879
Practice Location Phone/Fax
| Phone: | 7206127429 |
| Fax: |
Provider Mailing Location
2095 W 6TH AVE STE 115
BROOMFIELD
CO
800201879
Provider Mailing Phone/Fax
| Phone: | 7206127429 |
| Fax: |