Individual
HANNAH N MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
605 N 9TH ST, ROCKY FORD, CO 81067-1013
(719) 469-3443
Mailing address
22713 HWY 10, LA JUNTA, CO 81050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0018377
CO
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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