Individual
MS. COLLETTE KAE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
31480 BROOKLINE RD, EVERGREEN, CO 80439-8946
(303) 928-9860
Mailing address
31480 BROOKLINE RD, EVERGREEN, CO 80439-8946
(303) 928-9860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2564
CO
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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