Individual
MIRIAM GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1114 PETERSON RD, COLORADO SPRINGS, CO 80915-3225
(719) 799-0922
Mailing address
1114 PETERSON RD, COLORADO SPRINGS, CO 80915-3225
(719) 799-0922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021370
CO
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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