Organization
BAYFIELD MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA G EDWARDS (OWNER)
(970) 884-2455
Entity
Organization
Contact information
Practice address
40031 US HIGHWAY 160, SUITE C, BAYFIELD, CO 81122-8746
(970) 884-2455
Mailing address
PO BOX 622, BAYFIELD, CO 81122-0622
(970) 884-2455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0011270
CO
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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