Individual
MISS TESLIN EMORY SKY MACLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
811 HIGHWAY 149, UNIT 6, LAKE CITY, CO 81235
(970) 739-4435
Mailing address
PO BOX 594, LAKE CITY, CO 81235-0594
(970) 739-4435
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002469
CO
225700000X
Massage Therapist
MT.0022456
CO
Other
Enumeration date
04/17/2018
Last updated
04/10/2020
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