Individual
ELLY C OSMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
256 NORTH 1ST STREET, PAGOSA SPRINGS, CO 81147
(970) 379-7023
Mailing address
PO BOX 3411, PAGOSA SPRINGS, CO 81147-3411
(970) 379-7023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
02/01/2019
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