Individual
ELIZABETH JEAN SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1032 1/2 MAIN AVE, SUITE 30, DURANGO, CO 81301-5124
(405) 714-7662
Mailing address
1170 E 5TH AVE, DURANGO, CO 81301-5346
(405) 714-7662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014703
CO
Other
Enumeration date
05/20/2013
Last updated
10/06/2014
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