Individual
REBECCA MECKLENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
116 N WISCONSIN ST, GUNNISON, CO 81230
(970) 208-4265
Mailing address
404 S WISCONSIN ST, APT 8, GUNNISON, CO 81230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0012813
CO
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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