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Organization
MOUNTAIN SPIRIT HEALING ARTS CENTER
Active
Organization
MOUNTAIN SPIRIT HEALING ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MALIN RMT (OWNER/MASSAGE THERAPIST)
(303) 772-6655
Entity
Organization
Contact information
Practice address
713 3RD AVE, LONGMONT, CO 80501-5926
(303) 772-6655
Mailing address
713 3RD AVE, LONGMONT, CO 80501-5926
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
1340
CO
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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