Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 0001877 | CO |
N | 226300000X | Kinesiotherapist | 0001877 | CO |
NPI | 1164864427 |
---|---|
Provider Name | Margaret Claire Hampton |
First Address | Longmont, CO 80503-8866 |
Second Address | Boulder, CO 80304-3966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2013 |
Last Update Date | 26/07/2013 |