Individual
ASHLYN TAYLOR BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1260 S HOVER ST, SUITE D, LONGMONT, CO 80501-7911
(303) 827-5101
Mailing address
1260 S HOVER ST, SUITE D, LONGMONT, CO 80501-7911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017604
CO
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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