Individual
KAYLINN BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13810 N 115TH ST, LONGMONT, CO 80504-8018
(909) 744-0389
Mailing address
13810 N 115TH ST, LONGMONT, CO 80504-8018
(909) 744-0389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0015473
CO
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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