Individual
DIANA HELLESTRAE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
ASCENT PHYSICAL THERAPY, 90 LAKE ST, AVON, CO 81620
(970) 209-8360
Mailing address
PO BOX 121, VAIL, CO 81658-0121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0012661
CO
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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