TEAGAN CLARK BALLINLEE DRAKE

LONGMONT, CO
NPI1427756519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: CO  0025597)
Enumeration Date2023-02-20
Last Update Date2023-02-20
Business Address
Mr. TEAGAN CLARK BALLINLEE DRAKE LMT
2130 MOUNTAIN VIEW AVE STE 205
LONGMONT, CO 80501-3177
Phone number: 303-835-7882
Mailing Address
Mr. TEAGAN CLARK BALLINLEE DRAKE LMT
1065 REDBUD CIR
LONGMONT, CO 80503-7351
Phone number: 469-426-5542