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NPI 1710575121

NPI 1710575121 : RICHARD LLOYD MYERS JR. LMT, CPT : CASTLE ROCK, CO

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General NPI Number Information
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    NPI Number           |    1710575121
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD LLOYD MYERS JR. LMT, CPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/02/2021
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    2047 W WOLFENSBERGER RD 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-9651
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    Country              |    US
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    Telephone            |    303-505-9313
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    Fax                  |    303-586-0175
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Provider Business Mailing Address
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    Address Line         |    2047 W WOLFENSBERGER RD 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-9651
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    Country              |    US
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    Telephone            |    720-276-2930
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    Fax                  |    303-586-0175
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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        |    374K00000X
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    Taxonomy Name        |    Religious Nonmedical Practitioner
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    License Number       |    
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    License Number State |    
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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       |    0011721
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    License Number State |    CO
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