Doctor Name: | DANA WOLK |
NPI Number: | 1053643924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9160 |
Business Practice Address: | 2321 30th St Boulder, CO - 803011103 |
Business Phone Number: | 3034403998 |
Business Fax Number: | 3034408363 |
Mailing Address: | 2321 30th St, BOULDER |
State: | CO |
Postal Code: | 803011103 |
Phone Number: | 3034403998 |
Fax Number: | 3034408363 |
NPI Enumeration Date: | 02/03/2010 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 9160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |