Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0020358 | CO |
NPI | 1013433150 |
---|---|
Provider Name | Margaret M Sloan |
First Address | Montrose, CO 81401-8251 |
Second Address | Montrose, CO 81401-8251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2017 |
Last Update Date | 21/08/2017 |