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General NPI Number Information
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NPI Number | 1669320891
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Entity Type | Individual
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Provider Name | ELIZABETH BOLTON BS, MS, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 1100 SPRUCE ST STE 202
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City | BOULDER
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State | CO
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Zip | 80302-5395
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Country | US
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Telephone | 414-507-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 7495 LOWELL BLVD APT 22
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City | WESTMINSTER
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State | CO
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Zip | 80030-4853
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MT.0027583
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0027583
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License Number State | CO
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