Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0002325 | CO |
NPI | 1013460393 |
---|---|
Provider Name | Rachel Marie Mcgehee |
First Address | Durango, CO 81301-6151 |
Second Address | Durango, CO 81301-8642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2016 |
Last Update Date | 03/08/2016 |