Individual
TARA LYNN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
435 NORTH PARK AVE, BRECKENRIDGE, CO 80424-9439
(970) 368-3270
Mailing address
435 NORTH PARK AVE, BRECKENRIDGE, CO 80424-9439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
060960709
CO
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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