Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0018070 | CO |
NPI | 1013366343 |
---|---|
Provider Name | Margaret Marsden |
First Address | Durango, CO 81301-4488 |
Second Address | Durango, CO 81301-5205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |