Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0017874 | CO |
NPI | 1003331117 |
---|---|
Provider Name | Robin Talmhain |
First Address | Greeley, CO 80634-9155 |
Second Address | Greeley, CO 80634-6874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2017 |
Last Update Date | 09/08/2017 |